</ iframe > </noscript> <!-- End Google Tag Manager (noscript) --> <div> <a class="score-button primary md bg-colorKnightGold colorBlack skip-to-main-btn" href="#main-content" title="Skip to main content" target="_self" rel="noopener noreferrer">Skip to main content</a> <header> <div class="header-utility-wrapper"> <div class="container"> <ul> <li> <a href="/pl/visit/" target="_self" rel="">Godziny otwarcia i wskazówki jak dojechać</a> </li> <li> <a href="/pl/contact/" target="_self" rel="">Kontakt z nami</a> </li> <li> <a href="/pl/about/donate/" target="_self" rel="">WSPIERAJ SANKTUARIUM</a> </li> <li class="lang-selection"> <a href="/" class="drop-btn"> <span>Polski</span> <svg id="dropdown" width="24" height="24" viewBox="0 0 24 24"> <rect id="Rectangle_581" data-name="Rectangle 581" width="24" height="24" fill="none"></rect> <path id="Shape_34_copy_5" data-name="Shape 34 copy 5" d="M548,1110.987l12-11.994H536l12,11.994" transform="translate(-536 -1092.993)" fill="currentColor"></path> </svg> </a> <ul class="lang-dropdown"> <li> <a href="/">English</a> </li> <li> <a href="/es/">Español</a> </li> <li> <a href="/fr/">Français</a> </li> <li> <a href="/pl/">Polski</a> </li> </ul> </li> </ul> </div> </div> <div class="header-wrapper"> <div class="container"> <div class="header-logo"> <a href="/pl/"> <img src="https://images1.cmp.optimizely.com/assets/jp2_logoPL_clr.svg/Zz1iMzc5NmNkYTZmODUxMWVmOTdjYTU2NTMzMjIzY2E2Yw==" loading="lazy" class="score-image img-fluid" alt="Narodowe Sanktuarium Świętego Jana Pawła II " /> </a> </div> <div class="header-links"> </div> </div> </div> <div class="header-navigation-wrapper" aria-label="Main Navigation"> <ul class="container"> <li class="item "> <a class="score-button button" tabindex="0">O Nas</a> <ul> <li class="subitem"> <a href="/pl/about/" target="_self">Przegląd</a> </li> <li class="subitem"> <a href="/pl/about/jp2-bio/" target="_self">Święty Jan Paweł II</a> </li> <li class="subitem"> <a href="/pl/about/staff/" target="_self">Przywódcy</a> </li> <li class="subitem"> <a href="/pl/about/kofc/" target="_self">Rycerze Kolumba i Sanktuarium</a> </li> </ul> </li> <li class="item "> <a class="score-button button" tabindex="0">Wizyta</a> <ul> <li class="subitem"> <a href="/pl/visit/" target="_self">Godziny Otwarcia i Wskazówki Jak Dojechać</a> </li> <li class="subitem"> <a href="/pl/visit/plan-a-pilgrimage/" target="_self">Zaplanuj Swoją Pielgrzymkę</a> </li> <li class="subitem"> <a href="/pl/visit/resources-students-educators/" target="_self">Materiały dla studentów i nauczycieli</a> </li> <li class="subitem"> <a href="/pl/visit/pilgrim-resources/" target="_self">Materiały dla Pielgrzymów</a> </li> </ul> </li> <li class="item "> <a class="score-button button" tabindex="0">Nabożeństwa</a> <ul> <li class="subitem"> <a href="/pl/worship/" target="_self">Harmonogram liturgiczny</a> </li> <li class="subitem"> <a href="/pl/worship/relics/" target="_self">Relikwie</a> </li> <li class="subitem"> <a href="/pl/worship/jp2-prayer/" target="_self">Modlitwa do Św. Jana Pawła II</a> </li> <li class="subitem"> <a href="/pl/worship/divine-mercy/" target="_self">Miłosierdzie Boże w Sanktuarium</a> </li> </ul> </li> <li class="item "> <a class="score-button button" tabindex="0">Wystawy i wydarzenia</a> <ul> <li class="subitem"> <a href="/pl/exhibits/" target="_self">Wystawy</a> </li> <li class="subitem"> <a href="/pl/events/" target="_self">Kalendarz imprez</a> </li> <li class="subitem"> <a href="https://www.youtube.com/@SaintJohnPaulIINationalShrine/streams" target="_blank">Transmisja online</a> </li> </ul> </li> </ul> </div> <div class="header-mobile-wrapper"> <div class="container"> <div class="header-mobile-logo"> <a href="/pl/"> <img src="https://images1.cmp.optimizely.com/assets/jp2_logoPL_clr.svg/Zz1iMzc5NmNkYTZmODUxMWVmOTdjYTU2NTMzMjIzY2E2Yw==" loading="lazy" alt="Narodowe Sanktuarium Świętego Jana Pawła II " /> </a> </div> <button type="button" aria-label="toggle menu" class="header-mobile-button"> <span></span> </button> </div> <div class="header-mobile-search"> <form class="container"> <button type="button" aria-label="close search" className="header-mobile-search-close" /> <input type="text" class="header-mobile-search-box" /> <svg width="24" height="23.999" viewBox="0 0 24 23.999"> <rect id="Rectangle_558" data-name="Rectangle 558" width="23.999" height="23.999" transform="translate(24 23.999) rotate(180)" fill="none"></rect> <g id="Group_2515" data-name="Group 2515" transform="translate(0 0.375)"> <path id="Ellipse_59" data-name="Ellipse 59" d="M10.351,2.906A7.446,7.446,0,1,0,17.8,10.351a7.454,7.454,0,0,0-7.446-7.446m0-2.906A10.351,10.351,0,1,1,0,10.351,10.351,10.351,0,0,1,10.351,0Z" transform="translate(3.297 0)" fill="currentColor"></path> <path id="Line_155" data-name="Line 155" d="M-3.6,2.391-5.657.336.336-5.657,2.39-3.6Z" transform="translate(5.657 20.519)" fill="currentColor"></path> </g> </svg> <button className="score-button primary bg-colorInsuranceBlue md" type="button">Search</button> </form> </div> <div class="header-mobile-menu"> <div class="button-box"> </div> <ul class="header-mobile-links"> </ul> <ul aria-label="menu" class="mobile-categories"> <li class="item"> <div>O Nas</div> <ul> <li class="subitem"> <a href="/pl/about/" target="_self">Przegląd</a> </li> <li class="subitem"> <a href="/pl/about/jp2-bio/" target="_self">Święty Jan Paweł II</a> </li> <li class="subitem"> <a href="/pl/about/staff/" target="_self">Przywódcy</a> </li> <li class="subitem"> <a href="/pl/about/kofc/" target="_self">Rycerze Kolumba i Sanktuarium</a> </li> </ul> </li> <li class="item"> <div>Wizyta</div> <ul> <li class="subitem"> <a href="/pl/visit/" target="_self">Godziny Otwarcia i Wskazówki Jak Dojechać</a> </li> <li class="subitem"> <a href="/pl/visit/plan-a-pilgrimage/" target="_self">Zaplanuj Swoją Pielgrzymkę</a> </li> <li class="subitem"> <a href="/pl/visit/resources-students-educators/" target="_self">Materiały dla studentów i nauczycieli</a> </li> <li class="subitem"> <a href="/pl/visit/pilgrim-resources/" target="_self">Materiały dla Pielgrzymów</a> </li> </ul> </li> <li class="item"> <div>Nabożeństwa</div> <ul> <li class="subitem"> <a href="/pl/worship/" target="_self">Harmonogram liturgiczny</a> </li> <li class="subitem"> <a href="/pl/worship/relics/" target="_self">Relikwie</a> </li> <li class="subitem"> <a href="/pl/worship/jp2-prayer/" target="_self">Modlitwa do Św. 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wymagana\",\"validationCssClass\":\"ValidationRequired\",\"additionalAttributes\":{\"required\":\"\",\"aria-required\":\"true\"}}}]},{\"targetElementName\":\"__field_4015\",\"targetElementId\":\"77ba872d-c1f8-457d-84eb-83cc0307877e\",\"validators\":[{\"type\":\"EPiServer.Forms.Implementation.Validation.RequiredValidator\",\"description\":null,\"model\":{\"message\":\"Informacja na temat grupy jest wymagana\",\"validationCssClass\":\"ValidationRequired\",\"additionalAttributes\":{\"required\":\"\",\"aria-required\":\"true\"}}}]},{\"targetElementName\":\"__field_4017\",\"targetElementId\":\"347f8c1d-9f8b-4e35-b5c1-6d8606d2e75a\",\"validators\":[{\"type\":\"EPiServer.Forms.Implementation.Validation.RequiredValidator\",\"description\":null,\"model\":{\"message\":\"Data wizyty jest wymagana\",\"validationCssClass\":\"ValidationRequired\",\"additionalAttributes\":{\"required\":\"\",\"aria-required\":\"true\"}}},{\"type\":\"EPiServer.Forms.Implementation.Validation.DateMMDDYYYYValidator\",\"description\":null,\"model\":{\"jsPattern\":\"^(((0[13578]|1[02])\\\\/(0[1-9]|[12]\\\\d|3[01])\\\\/((19|[2-9]\\\\d)\\\\d{2}))|((0[13456789]|1[012])\\\\/(0[1-9]|[12]\\\\d|30)\\\\/((19|[2-9]\\\\d)\\\\d{2}))|(02\\\\/(0[1-9]|1\\\\d|2[0-8])\\\\/((19|[2-9]\\\\d)\\\\d{2}))|(02\\\\/29\\\\/(19|[2-9]\\\\d)([02468][048]|[13579][26])))$\",\"dotNetPattern\":\"^(((0[13578]|1[02])\\\\/(0[1-9]|[12]\\\\d|3[01])\\\\/((19|[2-9]\\\\d)\\\\d{2}))|((0[13456789]|1[012])\\\\/(0[1-9]|[12]\\\\d|30)\\\\/((19|[2-9]\\\\d)\\\\d{2}))|(02\\\\/(0[1-9]|1\\\\d|2[0-8])\\\\/((19|[2-9]\\\\d)\\\\d{2}))|(02\\\\/29\\\\/(19|[2-9]\\\\d)([02468][048]|[13579][26])))$\",\"message\":\"Data wizyty musi być podana w formacie MM/DD/RRRR\",\"validationCssClass\":null,\"additionalAttributes\":null}}]},{\"targetElementName\":\"__field_4020\",\"targetElementId\":\"d1cbd888-a95e-4348-a5c6-0664694bda6a\",\"validators\":[{\"type\":\"EPiServer.Forms.Implementation.Validation.RequiredValidator\",\"description\":null,\"model\":{\"message\":\"Godzina wizyty jest wymagana\",\"validationCssClass\":\"ValidationRequired\",\"additionalAttributes\":{\"required\":\"\",\"aria-required\":\"true\"}}},{\"type\":\"EPiServer.Forms.Samples.Implementation.Validation.TimeValidator\",\"description\":null,\"model\":{\"message\":\"Unexpected value is not accepted.\",\"validationCssClass\":null,\"additionalAttributes\":null}}]}]"), // Steps information for driving multiple-step Forms. StepsInfo : { Steps: [{"index":0,"attachedUrl":"","dependField":null,"dependCondition":null,"isActive":true,"attachedContentLink":"","dependValue":"","elementName":"__field_","guid":"00000000-0000-0000-0000-000000000000"}] }, FieldsExcludedInSubmissionSummary: [], ElementsInfo: JSON.parse("{\"__field_3997\":{\"type\":\"EPiServer.Forms.Implementation.Elements.SelectionElementBlock\",\"friendlyName\":\"Element: Reason for Inquiry\",\"customBinding\":false},\"__field_3998\":{\"type\":\"EPiServer.Forms.Implementation.Elements.SelectionElementBlock\",\"friendlyName\":\"Element: Title\",\"customBinding\":false},\"__field_3999\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: First Name\",\"customBinding\":false},\"__field_4000\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: Last Name\",\"customBinding\":false},\"__field_4001\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: Home Phone\",\"customBinding\":false},\"__field_4002\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: Work Phone\",\"customBinding\":false},\"__field_4003\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: Email\",\"customBinding\":false},\"__field_4005\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: Address\",\"customBinding\":false},\"__field_4007\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: City\",\"customBinding\":false},\"__field_4008\":{\"type\":\"EPiServer.Forms.Implementation.Elements.SelectionElementBlock\",\"friendlyName\":\"Element: State\",\"customBinding\":false},\"__field_4425\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: Zip Code\",\"customBinding\":false},\"__field_4004\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: Subject\",\"customBinding\":false},\"__field_4010\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextareaElementBlock\",\"friendlyName\":\"Element: Question/Comment\",\"customBinding\":false},\"__field_4011\":{\"type\":\"EPiServer.Forms.Implementation.Elements.ParagraphTextElementBlock\",\"friendlyName\":\"Rich Text: Group Tour Details\",\"customBinding\":false},\"__field_4012\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: Company/Organization\",\"customBinding\":false},\"__field_4013\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: Group Name\",\"customBinding\":false},\"__field_4014\":{\"type\":\"EPiServer.Forms.Implementation.Elements.SelectionElementBlock\",\"friendlyName\":\"Element: Attending Mass at the Shrine?\",\"customBinding\":false},\"__field_5167\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: Number of People\",\"customBinding\":false},\"__field_4015\":{\"type\":\"EPiServer.Forms.Implementation.Elements.SelectionElementBlock\",\"friendlyName\":\"Element: Describe Your Group\",\"customBinding\":false},\"__field_4017\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextboxElementBlock\",\"friendlyName\":\"Element: Date\",\"customBinding\":false},\"__field_4018\":{\"type\":\"EPiServer.Forms.Implementation.Elements.SelectionElementBlock\",\"friendlyName\":\"Element: Special Accomodations?\",\"customBinding\":false},\"__field_4019\":{\"type\":\"EPiServer.Forms.Implementation.Elements.TextareaElementBlock\",\"friendlyName\":\"Element: Special Accommodations Yes\",\"customBinding\":false},\"__field_4020\":{\"pickerType\":\"timepicker\",\"type\":\"EPiServer.Forms.Samples.Implementation.Elements.DateTimeElementBlock\",\"friendlyName\":\"Element: Time\",\"customBinding\":true},\"__field_4021\":{\"type\":\"EPiServer.Forms.Implementation.Elements.SelectionElementBlock\",\"friendlyName\":\"Element: How Did You Hear About Us?\",\"customBinding\":false},\"__field_4022\":{\"type\":\"Knights.Web.Features.Blocks.Forms.FormSubmitButtonBlock\",\"friendlyName\":\"Element: Form Submit Button\",\"customBinding\":false}}"), DataSubmitController: "/EPiServer.Forms/DataSubmit", }; /// TECHNOTE: Calculation at FormInfo level, and these values will be static input for later processing. workingFormInfo.StepsInfo.FormHasNoStep_VirtualStepCreated=true; // this FLAG will be true, if Editor does not put any FormStep. Engine will create a virtual step, with empty GUID workingFormInfo.StepsInfo.FormHasNothing=false; // this FLAG will be true if FormContainer has no element at all workingFormInfo.StepsInfo.AllStepsAreNotLinked=true; // this FLAG will be true, if all steps all have contentLink= ="" (emptyString) epi.EPiServer.SystemSettings = { RequestVerification: { FormFieldName: "__RequestVerificationToken", HeaderName: "RequestVerificationToken" } }; })(); </script> <input type="hidden" class="Form__Element Form__SystemElement FormHidden FormHideInSummarized" name="__FormGuid" value="e3fdd47b-2d37-44b4-85f4-389d478f642e" data-f-type="hidden" /> <input type="hidden" class="Form__Element Form__SystemElement FormHidden FormHideInSummarized" name="__FormHostedPage" value="683" data-f-type="hidden" /> <input type="hidden" class="Form__Element Form__SystemElement FormHidden FormHideInSummarized" name="__FormLanguage" value="pl" data-f-type="hidden" /> <input type="hidden" class="Form__Element Form__SystemElement FormHidden FormHideInSummarized" name="__FormCurrentStepIndex" value="0" data-f-type="hidden" /> <input type="hidden" class="Form__Element Form__SystemElement FormHidden FormHideInSummarized" name="__FormSubmissionId" value="" data-f-type="hidden" /> <div class="Form__Status"> <div role="status" class="Form__Status__Message hide" data-f-form-statusmessage> </div> </div> <div data-f-mainbody class="Form__MainBody"> <section id="__field_" data-f-type="step" data-f-element-name="__field_" class="Form__Element FormStep Form__Element--NonData " data-f-stepindex="0" data-f-element-nondata> <!-- Each FormStep groups the elements below it til the next FormStep --> <div class=" content-area__copy"> <input name="__field_3996" id="cd518320-28dc-4084-83f0-01a87fd37f55" type="hidden" value="https://www.jp2shrine.org/pl/contact" class="Form__Element FormHidden FormHideInSummarized" data-f-type="hidden" data-content-name="currenturlhiddenelementblock" /> </div><div class=" w-6col"> <div class="Form__Element FormSelection ValidationRequired" data-f-element-name="__field_3997" data-f-type="selection"> <label for="0bf04837-5dc6-47fc-a2b0-743999762442" class="Form__Element__Caption">Przedmiot Twojej Sprawy</label> <select name="__field_3997" id="0bf04837-5dc6-47fc-a2b0-743999762442" required aria-required="true" data-f-datainput aria-describedby="__field_3997_desc" autocomplete="off"> <option disabled="disabled" selected="selected" value=""> -- Wybierz opcję -- </option> <option value="Informacja dla Zwiedzających" data-f-datainput>Informacja dla Zwiedzających</option> <option value="Grupowe Zwiedzanie" data-f-datainput>Grupowe Zwiedzanie</option> <option value="Dostęp do Archiwum" data-f-datainput>Dostęp do Archiwum</option> </select> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_3997" data-f-validationerror="" id="__field_3997_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormSelection" data-f-element-name="__field_3998" data-f-type="selection"> <label for="fc54bba1-ed57-4e45-8a38-4b5001c71e01" class="Form__Element__Caption">Tytuł</label> <select name="__field_3998" id="fc54bba1-ed57-4e45-8a38-4b5001c71e01" data-f-datainput aria-describedby="__field_3998_desc" autocomplete="off"> <option disabled="disabled" selected="selected" value=""> -- Wybierz opcję -- </option> <option value="Ks." data-f-datainput>Ks.</option> <option value="Sr." data-f-datainput>Sr.</option> <option value="Pan" data-f-datainput>Pan</option> <option value="Pani" data-f-datainput>Pani</option> <option value="Pan" data-f-datainput>Pan</option> <option value="Dr." data-f-datainput>Dr.</option> </select> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_3998" data-f-validationerror="" id="__field_3998_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_3999" data-f-type="textbox"> <label for="8da74aac-d1d5-4363-82a1-4c1a627f8922" class="Form__Element__Caption">Imię</label> <input name="__field_3999" id="8da74aac-d1d5-4363-82a1-4c1a627f8922" type="text" class="FormTextbox__Input" aria-describedby="__field_3999_desc" placeholder="" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_3999" data-f-validationerror="" id="__field_3999_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_4000" data-f-type="textbox"> <label for="17486f90-f0de-4f3f-bf22-f0e22bfbe67e" class="Form__Element__Caption">Nazwisko</label> <input name="__field_4000" id="17486f90-f0de-4f3f-bf22-f0e22bfbe67e" type="text" class="FormTextbox__Input" aria-describedby="__field_4000_desc" placeholder="" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4000" data-f-validationerror="" id="__field_4000_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormTextbox" data-f-element-name="__field_4001" data-f-type="textbox"> <label for="c150a912-f814-45b2-a184-f381c6138e5b" class="Form__Element__Caption">Telefon domowy</label> <input name="__field_4001" id="c150a912-f814-45b2-a184-f381c6138e5b" type="text" class="FormTextbox__Input" aria-describedby="__field_4001_desc" placeholder="" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4001" data-f-validationerror="" id="__field_4001_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormTextbox" data-f-element-name="__field_4002" data-f-type="textbox"> <label for="ca45c7fb-66da-4cfc-bc69-d29c9088648a" class="Form__Element__Caption">Telefon Służbowy</label> <input name="__field_4002" id="ca45c7fb-66da-4cfc-bc69-d29c9088648a" type="text" class="FormTextbox__Input" aria-describedby="__field_4002_desc" placeholder="" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4002" data-f-validationerror="" id="__field_4002_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_4003" data-f-type="textbox"> <label for="7ac95fe9-c580-4732-8664-fc4942cc6c36" class="Form__Element__Caption">Adres e-mail</label> <input name="__field_4003" id="7ac95fe9-c580-4732-8664-fc4942cc6c36" type="text" class="FormTextbox__Input" aria-describedby="__field_4003_desc" placeholder="" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4003" data-f-validationerror="" id="__field_4003_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_4005" data-f-type="textbox"> <label for="da2c4849-3b1e-4088-aa9c-242d0ed64231" class="Form__Element__Caption">Adres</label> <input name="__field_4005" id="da2c4849-3b1e-4088-aa9c-242d0ed64231" type="text" class="FormTextbox__Input" aria-describedby="__field_4005_desc" placeholder="" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4005" data-f-validationerror="" id="__field_4005_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_4007" data-f-type="textbox"> <label for="87994e74-d143-4709-bf68-cce497ff417f" class="Form__Element__Caption">Miasto</label> <input name="__field_4007" id="87994e74-d143-4709-bf68-cce497ff417f" type="text" class="FormTextbox__Input" aria-describedby="__field_4007_desc" placeholder="" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4007" data-f-validationerror="" id="__field_4007_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormSelection ValidationRequired" data-f-element-name="__field_4008" data-f-type="selection"> <label for="6200b751-252c-46db-8284-24498631cf7a" class="Form__Element__Caption">Województwo</label> <select name="__field_4008" id="6200b751-252c-46db-8284-24498631cf7a" required aria-required="true" data-f-datainput aria-describedby="__field_4008_desc" autocomplete="off"> <option disabled="disabled" selected="selected" value=""> -- Wybierz opcję -- </option> <option value="Alabama" data-f-datainput>Alabama</option> <option value="Alaska" data-f-datainput>Alaska</option> <option value="Arizona" data-f-datainput>Arizona</option> <option value="Arkansas" data-f-datainput>Arkansas</option> <option value="California" data-f-datainput>California</option> <option value="Colorado" data-f-datainput>Colorado</option> <option value="Connecticut" data-f-datainput>Connecticut</option> <option value="Delaware" data-f-datainput>Delaware</option> <option value="Florida" data-f-datainput>Florida</option> <option value="Georgia" data-f-datainput>Georgia</option> <option value="Hawaii" data-f-datainput>Hawaii</option> <option value="Idaho" data-f-datainput>Idaho</option> <option value="Illinois" data-f-datainput>Illinois</option> <option value="Indiana" data-f-datainput>Indiana</option> <option value="Iowa" data-f-datainput>Iowa</option> <option value="Kansas" data-f-datainput>Kansas</option> <option value="Kentucky" data-f-datainput>Kentucky</option> <option value="Louisiana" data-f-datainput>Louisiana</option> <option value="Maine" data-f-datainput>Maine</option> <option value="Maryland" data-f-datainput>Maryland</option> <option value="Massachusetts" data-f-datainput>Massachusetts</option> <option value="Michigan" data-f-datainput>Michigan</option> <option value="Minnesota" data-f-datainput>Minnesota</option> <option value="Mississippi" data-f-datainput>Mississippi</option> <option value="Missouri" data-f-datainput>Missouri</option> <option value="Montana" data-f-datainput>Montana</option> <option value="Nebraska" data-f-datainput>Nebraska</option> <option value="Nevada" data-f-datainput>Nevada</option> <option value="New Hampshire" data-f-datainput>New Hampshire</option> <option value="New Jersey" data-f-datainput>New Jersey</option> <option value="New Mexico" data-f-datainput>New Mexico</option> <option value="New York" data-f-datainput>New York</option> <option value="North Carolina" data-f-datainput>North Carolina</option> <option value="North Dakota" data-f-datainput>North Dakota</option> <option value="Ohio" data-f-datainput>Ohio</option> <option value="Oklahoma" data-f-datainput>Oklahoma</option> <option value="Oregon" data-f-datainput>Oregon</option> <option value="Pennsylvania" data-f-datainput>Pennsylvania</option> <option value="Rhode Island" data-f-datainput>Rhode Island</option> <option value="South Carolina" data-f-datainput>South Carolina</option> <option value="South Dakota" data-f-datainput>South Dakota</option> <option value="Tennessee" data-f-datainput>Tennessee</option> <option value="Texas" data-f-datainput>Texas</option> <option value="Utah" data-f-datainput>Utah</option> <option value="Vermont" data-f-datainput>Vermont</option> <option value="Virginia" data-f-datainput>Virginia</option> <option value="Washington" data-f-datainput>Washington</option> <option value="West Virginia" data-f-datainput>West Virginia</option> <option value="Wisconsin" data-f-datainput>Wisconsin</option> <option value="Wyoming" data-f-datainput>Wyoming</option> </select> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4008" data-f-validationerror="" id="__field_4008_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_4425" data-f-type="textbox"> <label for="5535d161-f548-4cff-9e81-2a05a31a4756" class="Form__Element__Caption">Kod Pocztowy</label> <input name="__field_4425" id="5535d161-f548-4cff-9e81-2a05a31a4756" type="text" class="FormTextbox__Input" aria-describedby="__field_4425_desc" placeholder="" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4425" data-f-validationerror="" id="__field_4425_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormTextbox ValidationRequired" data-f-element-name="__field_4004" data-f-type="textbox"> <label for="d0e5b1cf-fcb6-40dd-8930-ac568bcb575c" class="Form__Element__Caption">Temat</label> <input name="__field_4004" id="d0e5b1cf-fcb6-40dd-8930-ac568bcb575c" type="text" class="FormTextbox__Input" aria-describedby="__field_4004_desc" placeholder="" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4004" data-f-validationerror="" id="__field_4004_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormTextbox FormTextbox--Textarea" data-f-element-name="__field_4010" data-f-modifier="textarea" data-f-type="textbox"> <label for="d4d61395-c06a-45c7-9e28-5003ef141827" class="Form__Element__Caption">Pytanie/Komentarz</label> <textarea name="__field_4010" id="d4d61395-c06a-45c7-9e28-5003ef141827" class="FormTextbox__Input" placeholder="" data-f-label="Pytanie/Komentarz" data-f-datainput aria-describedby="__field_4010_desc" autocomplete="off"></textarea> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4010" data-f-validationerror="" id="__field_4010_desc" role="alert"></span></div></div><div class=" content-area__copy"> <div class="Form__Element FormParagraphText Form__Element--NonData hide" data-f-element-name="__field_4011" data-f-element-nondata=""> <div id="b47406ed-bfc4-4299-be9e-0f8df134daab" > <p style="text-align: center;"><strong>Szczegóły wizyty</strong></p> </div> <div id="b47406ed-bfc4-4299-be9e-0f8df134daab__OriginalText" class="Form__Original__ParagraphText"> <p style="text-align: center;"><strong>Szczegóły wizyty</strong></p> </div> </div></div><div class=" w-6col"> <div class="Form__Element FormTextbox hide" data-f-element-name="__field_4012" data-f-type="textbox"> <label for="26e7bd99-823b-448f-bb08-a0e21c7bcced" class="Form__Element__Caption">Organizacja</label> <input name="__field_4012" id="26e7bd99-823b-448f-bb08-a0e21c7bcced" type="text" class="FormTextbox__Input" aria-describedby="__field_4012_desc" placeholder="" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4012" data-f-validationerror="" id="__field_4012_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormTextbox ValidationRequired hide" data-f-element-name="__field_4013" data-f-type="textbox"> <label for="3857baec-6723-4034-b02c-76d6a0a2a179" class="Form__Element__Caption">Nazwa grupy</label> <input name="__field_4013" id="3857baec-6723-4034-b02c-76d6a0a2a179" type="text" class="FormTextbox__Input" aria-describedby="__field_4013_desc" placeholder="" required aria-required="true" data-f-datainput autocomplete="off"/> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4013" data-f-validationerror="" id="__field_4013_desc" role="alert"></span></div></div><div class=" w-6col"> <div class="Form__Element FormSelection hide" data-f-element-name="__field_4014" data-f-type="selection"> <label for="beb88339-46ba-4dd7-b8fe-4721b36de97e" class="Form__Element__Caption">Udział we Mszy Św. w Sanktuarium?</label> <select name="__field_4014" id="beb88339-46ba-4dd7-b8fe-4721b36de97e" 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<option value="Wyszukiwarka internetowa" data-f-datainput>Wyszukiwarka internetowa</option> <option value="Od znajomego" data-f-datainput>Od znajomego</option> <option value="Media społecznościowe" data-f-datainput>Media społecznościowe</option> <option value="Inne" data-f-datainput>Inne</option> </select> <span class="Form__Element__ValidationError hidden" data-f-linked-name="__field_4021" data-f-validationerror="" id="__field_4021_desc" role="alert"></span></div></div><div class=" content-area__copy"> <button id="3af4aacb-feab-4eb7-910b-6343d146a94d" name="submit" type="submit" value="3af4aacb-feab-4eb7-910b-6343d146a94d" data-f-is-finalized="false" data-f-is-progressive-submit="true" data-f-type="submitbutton" data-f-element-name="__field_4022" class="Form__Element FormExcludeDataRebind FormSubmitButton score-button md primary bg-buttonPrimary colorWhite"> Wyślij </button> </div> </section> </div> <input name="__RequestVerificationToken" type="hidden" 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