<script type="text/javascript">
window.history.forward();
</script>
<div class="rangee_timeline_inscription w-row">
    <div class="colonne_vide w-col w-col-2 w-col-stack"></div>
    <div class="colonne_centre w-col w-col-8 w-col-stack">
        <object data="https://www.lanterne-magique.org/wp-content/themes/lanterne-magique/static/images/timeline/pl/timeline_desktop_1.svg" type="image/svg+xml" class="timeline_desktop">
        </object>
        <object data="https://www.lanterne-magique.org/wp-content/themes/lanterne-magique/static/images/timeline/pl/Timeline_tablet_etape_1.svg" type="image/svg+xml" class="timeline_tablet">
        </object>
    </div>
    <div class="colonne_vide w-col w-col-2 w-col-stack"></div>
</div>


    <div class="formulaire_inscription w-form">
        <form id="registration-form-1" class="form" action="https://www.lanterne-magique.org/pl/inscription/etape-2/" method="POST">
            <div class="rangee_formulaire1 w-row">
                <div class="colonne_vide w-col w-col-1 w-col-stack"></div>
                <div class="colonne_sans_marges w-col w-col-4 w-col-stack">
                    <h1 class="titre_surligne_blocs"><span class="text_span_surlignage_blanc">Wybierz klub</span></h1>

                    <div class="container_formulaire_marge_bas w-container">
                        <label for="lm_zone" class="categorie_formulaire">Region*</label>
                        <div class="champ w-input has-select">
                            <select class="js-select js-select-country champ w-input" name="lm_zone" id="lm_zone">

                            </select>
                        </div>

                        <label for="lm_club" class="categorie_formulaire">Klub*</label>
                        <div class="champ w-input has-select">
                            <select class="js-select js-select-city champ w-input" name="lm_club" id="lm_club">

                            </select>
                        </div>

                        <label for="lm_seance" class="categorie_formulaire">projekcja*</label>
                        <div class="champ w-input has-select">
                            <select class="js-select js-select-screening champ w-input" name="lm_seance" id="lm_seance">

                            </select>
                        </div>
                    </div>

                    <div class="hide-mobile">
                        <div class="container_infos_liste_bleu w-container">

        
</div>
<div class="container_formulaire_marge_haut w-container">
    </div>                    </div>
                </div>
                <div class="colonne_vide w-col w-col-1 w-col-stack"></div>
                <div class="colonne_sans_marges w-col w-col-5 w-col-stack">

                    <h1 class="titre_surligne_blocs"><a name="subtop"></a>
                        <span class="text_span_surlignage_blanc">Dane dziecka</span>
                    </h1>

                    <div class="text_erreur" 
                        data-empty="Najpierw wybierz proszę show.">
                                                
                    </div>

                    <div id="step_1_2" class="w-hidden">

                        <div class="container_formulaire_simple w-container">
                            <label for="coords_birthdate_1" class="categorie_formulaire">Data urodzenia*</label>
                            <input type="text" class="js-datepicker-birthdate champ w-input " maxlength="256" name="coords_birthdate_1" data-name="coords_birthdate_1" placeholder="DD.MM.RRRR" id="coords_birthdate_1" required="" value="">

                            <label for="coords_firstname_1" class="categorie_formulaire">Imię*</label>
                            <input type="text" class="champ w-input" maxlength="256" name="coords_firstname_1" data-name="coords_firstname_1" placeholder="" id="coords_firstname_1" required="" value="">

                            <label for="coords_name_1" class="categorie_formulaire">Nazwisko*</label>
                            <input type="text" class="champ w-input" maxlength="256" name="coords_name_1" data-name="coords_name_1" placeholder="" id="coords_name_1" required="" value="">

                            <label for="coords_co" class="categorie_formulaire">c/o</label>
                            <input type="text" class="champ w-input" maxlength="256" name="coords_co" data-name="coords_co" placeholder="" id="coords_co" value="">

                            <label for="coords_street" class="categorie_formulaire">Adres, nr*</label>

                            <div class="champ has-num">
                                <input type="text" class="champ w-input" maxlength="256" name="coords_street" data-name="coords_street" placeholder="" id="coords_street" required="" value="">
                                <input type="text" class="champ w-input" maxlength="3" name="coords_street_num" data-name="coords_street_num" placeholder="" id="coords_street_num" value="">
                            </div>

                            <label for="coords_zip" class="categorie_formulaire">Kod pocztowy*</label>
                            <input type="text" class="champ w-input" name="coords_zip" data-name="coords_zip" placeholder="" id="coords_zip" required="" value="">

                            <label for="coords_city" class="categorie_formulaire">Miasto*</label>
                            <input type="text" class="champ w-input" maxlength="256" name="coords_city" data-name="coords_city" placeholder="" id="coords_city" required="" value="">

                            <label for="coords_country" class="categorie_formulaire">kraj*</label>

                            <div class="champ w-input has-select">
                                <select class="js-select js-select-coord-country champ w-input" name="coords_country" data-name="coords_country" placeholder="" id="coords_country">
                                    <option value=""></option>
                                    <option value="Algérie">Algérie</option>
<option value="Andorra">Andorra</option>
<option value="Argentina">Argentina</option>
<option value="Azərbaycan">Azərbaycan</option>
<option value="Belgien">Belgien</option>
<option value="Belgique">Belgique</option>
<option value="België">België</option>
<option value="Belice">Belice</option>
<option value="Belize">Belize</option>
<option value="Bolivia">Bolivia</option>
<option value="Brasil">Brasil</option>
<option value="Chile">Chile</option>
<option value="Côte d’Ivoire">Côte d’Ivoire</option>
<option value="Danmark">Danmark</option>
<option value="Deutschland">Deutschland</option>
<option value="España">España</option>
<option value="France">France</option>
<option value="Guatemala">Guatemala</option>
<option value="Italia">Italia</option>
<option value="Liban">Liban</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lietuva">Lietuva</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Luxemburg">Luxemburg</option>
<option value="Lëtzebuerg">Lëtzebuerg</option>
<option value="Magyarország">Magyarország</option>
<option value="Mali">Mali</option>
<option value="Maroc">Maroc</option>
<option value="México">México</option>
<option value="Nederland">Nederland</option>
<option value="Polska">Polska</option>
<option value="Portugal">Portugal</option>
<option value="România">România</option>
<option value="Schweiz">Schweiz</option>
<option value="Slovenija">Slovenija</option>
<option value="Slovensko">Slovensko</option>
<option value="Srbija">Srbija</option>
<option value="Suisse">Suisse</option>
<option value="Svizzera">Svizzera</option>
<option value="Sénégal">Sénégal</option>
<option value="Türkiye">Türkiye</option>
<option value="UAE">UAE</option>
<option value="United Kingdom">United Kingdom</option>
<option value="Uruguay">Uruguay</option>
<option value="Österreich">Österreich</option>
<option value="Česká republika">Česká republika</option>
<option value="دولة فلسطين">دولة فلسطين</option>
<option value="سوريا">سوريا</option>
<option value="لبنان">لبنان</option>
<option value="Россия">Россия</option>
<option value="المغرب">المغرب</option>
<option value="Україна">Україна</option>
<option value="الجزائر">الجزائر</option>
<option value="Беларусь">Беларусь</option>
<option value="България">България</option>
<option value="جمهوريّة مصر العربيّة">جمهوريّة مصر العربيّة</option>
<option value="الإمارات العربية المتحدة">الإمارات العربية المتحدة</option>
<option value="الجمهورية الإسلامية الموريتانية">الجمهورية الإسلامية الموريتانية</option>
<option value="Белоруссия">Белоруссия</option>
<option value="יִשְׂרָאֵל">יִשְׂרָאֵל</option>
<option value="საქართველო">საქართველო</option>
<option value="إِسْرَائِيلُ">إِسْرَائِيلُ</option>

                                </select>
                            </div>

                            <label for="coords_phone_1" class="categorie_formulaire">telefon*</label>
                            <input type="tel" class="champ w-input" name="coords_phone_1" data-name="coords_phone_1" placeholder="" id="coords_phone_1" required="" value="">

                            <label for="coords_phone_emergency_1" class="categorie_formulaire">Telefon alarmowy*</label>
                            <input type="tel" class="champ w-input" name="coords_phone_emergency_1" data-name="coords_phone_emergency_1" placeholder="" id="coords_phone_emergency_1" required="" value="">

                            <label for="coords_email_1" class="categorie_formulaire">E-mail*</label>
                            <input type="email" class="champ w-input " name="coords_email_1" data-name="coords_email_1" placeholder="" id="coords_email_1" required="" value="">
                        </div>

                        <div class="checkbox-field w-clearfix w-checkbox">
                            <input type="checkbox" id="add_child_2" name="add_child_2" data-name="add_child_2" class="checkbox w-checkbox-input" >
                            <label for="add_child_2" class="legende w-form-label">Dodaj kolejne dziecko z tej samej rodziny</label>
                        </div>


                        <div id="add_child_2_div" style="display: none">
                            <div class="container_formulaire_marge_haut w-container">
                                <h1 class="titre_surligne_blocs">
                                    <span class="text_span_surlignage_blanc">Drugie dziecko</span>
                                </h1>

                                <label for="coords_birthdate_2" class="categorie_formulaire">Data urodzenia*</label>
                                <input type="text" class="js-datepicker-birthdate champ w-input " maxlength="256" name="coords_birthdate_2" data-name="coords_birthdate_2" placeholder="DD.MM.RRRR" id="coords_birthdate_2" value="">

                                <label for="coords_firstname_2" class="categorie_formulaire">Imię*</label>
                                <input type="text" class="champ w-input " maxlength="256" name="coords_firstname_2" data-name="coords_firstname_2" placeholder="" id="coords_firstname_2" value="">
				<label for="coords_name_2" class="categorie_formulaire">Nazwisko*</label>
				<input type="text" class="champ w-input " maxlength="256" name="coords_name_2" data-name="coords_name_2" placeholder="" id="coords_name_2" value="">
                            </div>
                            <div class="checkbox-field w-clearfix w-checkbox">
                                <input type="checkbox" id="add_child_3" name="add_child_3" data-name="add_child_3" class="checkbox w-checkbox-input" >
                                <label for="add_child_3" class="legende w-form-label">Dodaj kolejne dziecko z tej samej rodziny</label>
                            </div>
                        </div>

                        <div id="add_child_3_div" style="display: none">
                            <div class="container_formulaire_marge_haut w-container">
                                <h1 class="titre_surligne_blocs">
                                    <span class="text_span_surlignage_blanc">Trzecie dziecko</span>
                                </h1>

                                <label for="coords_birthdate_3" class="categorie_formulaire">Data urodzenia*</label>
                                <input type="text" class="js-datepicker-birthdate champ w-input " maxlength="256" name="coords_birthdate_3" data-name="coords_birthdate_3" placeholder="DD.MM.RRRR" id="coords_birthdate_3" value="">

                                <label for="coords_firstname_3" class="categorie_formulaire">Imię*</label>
                                <input type="text" class="champ w-input " maxlength="256" name="coords_firstname_3" data-name="coords_firstname_3" placeholder="" id="coords_firstname_3" value="">
				<label for="coords_name_3" class="categorie_formulaire">Nazwisko*</label>
				<input type="text" class="champ w-input " maxlength="256" name="coords_name_3" data-name="coords_name_3" placeholder="" id="coords_name_3" value="">

                            </div>
                            <div class="checkbox-field w-clearfix w-checkbox">
                                <input type="checkbox" id="add_child_4" name="add_child_4" data-name="add_child_4" class="checkbox w-checkbox-input" >
                                <label for="add_child_4" class="legende w-form-label">Dodaj kolejne dziecko z tej samej rodziny</label>
                            </div>
                        </div>

                        <div id="add_child_4_div" style="display: none">
                            <div class="container_formulaire_marge_haut w-container">
                                <h1 class="titre_surligne_blocs">
                                    <span class="text_span_surlignage_blanc">Czwarte dziecko</span>
                                </h1>

                                <label for="coords_birthdate_4" class="categorie_formulaire">Data urodzenia*</label>
                                <input type="text" class="js-datepicker-birthdate champ w-input " maxlength="256" name="coords_birthdate_4" data-name="coords_birthdate_4" placeholder="DD.MM.RRRR" id="coords_birthdate_4" value="">

                                <label for="coords_firstname_4" class="categorie_formulaire">Imię*</label>
                                <input type="text" class="champ w-input " maxlength="256" name="coords_firstname_4" data-name="coords_firstname_4" placeholder="" id="coords_firstname_4" value="">
				<label for="coords_name_4" class="categorie_formulaire">Nazwisko*</label>
				<input type="text" class="champ w-input " maxlength="256" name="coords_name_4" data-name="coords_name_4" placeholder="" id="coords_name_4" value="">

                            </div>
                            <div class="checkbox-field w-clearfix w-checkbox">
                                <input type="checkbox" id="add_child_5" name="add_child_5" data-name="add_child_5" class="checkbox w-checkbox-input" >
                                <label for="add_child_5" class="legende w-form-label">Dodaj kolejne dziecko z tej samej rodziny</label>
                            </div>
                        </div>

                        <div id="add_child_5_div" style="display: none">
                            <div class="container_formulaire_marge_haut w-container">
                                <h1 class="titre_surligne_blocs">
                                    <span class="text_span_surlignage_blanc">Piąte dziecko</span>
                                </h1>

                                <label for="coords_birthdate_5" class="categorie_formulaire">Data urodzenia*</label>
                                <input type="text" class="js-datepicker-birthdate champ w-input " maxlength="256" name="coords_birthdate_5" data-name="coords_birthdate_5" placeholder="DD.MM.RRRR" id="coords_birthdate_5" value="">

                                <label for="coords_firstname_5" class="categorie_formulaire">Imię*</label>
                                <input type="text" class="champ w-input " maxlength="256" name="coords_firstname_5" data-name="coords_firstname_5" placeholder="" id="coords_firstname_5" value="">
				<label for="coords_name_5" class="categorie_formulaire">Nazwisko*</label>
				<input type="text" class="champ w-input " maxlength="256" name="coords_name_5" data-name="coords_name_5" placeholder="" id="coords_name_5" value="">
                            </div>
                            <div class="checkbox-field w-clearfix w-checkbox">
                                <input type="checkbox" id="add_child_6" name="add_child_6" data-name="add_child_6" class="checkbox w-checkbox-input" >
                                <label for="add_child_6" class="legende w-form-label">Dodaj kolejne dziecko z tej samej rodziny</label>
                            </div>
                        </div>

                        <div id="add_child_6_div" style="display: none">
                            <div class="container_formulaire_marge_haut w-container">
                                <h1 class="titre_surligne_blocs">
                                    <span class="text_span_surlignage_blanc">Szóste dziecko</span>
                                </h1>

                                <label for="coords_birthdate_6" class="categorie_formulaire">Data urodzenia*</label>
                                <input type="text" class="js-datepicker-birthdate champ w-input " maxlength="256" name="coords_birthdate_6" data-name="coords_birthdate_6" placeholder="DD.MM.RRRR" id="coords_birthdate_6" value="">

                                <label for="coords_firstname_6" class="categorie_formulaire">Imię*</label>
                                <input type="text" class="champ w-input " maxlength="256" name="coords_firstname_6" data-name="coords_firstname_6" placeholder="" id="coords_firstname_6" value="">
				<label for="coords_name_6" class="categorie_formulaire">Nazwisko*</label>
				<input type="text" class="champ w-input " maxlength="256" name="coords_name_6" data-name="coords_name_6" placeholder="" id="coords_name_6" value="">

                            </div>
                            <div class="checkbox-field w-clearfix w-checkbox">
                                <input type="checkbox" id="add_child_7" name="add_child_7" data-name="add_child_7" class="checkbox w-checkbox-input" >
                                <label for="add_child_7" class="legende w-form-label">Dodaj kolejne dziecko z tej samej rodziny</label>
                            </div>
                        </div>

                        <div id="add_child_7_div" style="display: none">
                            <div class="container_formulaire_marge_haut w-container">
                                <h1 class="titre_surligne_blocs">
                                    <span class="text_span_surlignage_blanc">Siódme dziecko</span>
                                </h1>

                                <label for="coords_birthdate_7" class="categorie_formulaire">Data urodzenia*</label>
                                <input type="text" class="js-datepicker-birthdate champ w-input " maxlength="256" name="coords_birthdate_7" data-name="coords_birthdate_7" placeholder="DD.MM.RRRR" id="coords_birthdate_7" value="">

                                <label for="coords_firstname_7" class="categorie_formulaire">Imię*</label>
                                <input type="text" class="champ w-input " maxlength="256" name="coords_firstname_7" data-name="coords_firstname_7" placeholder="" id="coords_firstname_7" value="">
				<label for="coords_name_7" class="categorie_formulaire">Nazwisko*</label>
				<input type="text" class="champ w-input " maxlength="256" name="coords_name_7" data-name="coords_name_7" placeholder="" id="coords_name_7" value="">

                            </div>
                            <div class="checkbox-field w-clearfix w-checkbox">
                                <input type="checkbox" id="add_child_8" name="add_child_8" data-name="add_child_8" class="checkbox w-checkbox-input" >
                                <label for="add_child_8" class="legende w-form-label">Dodaj kolejne dziecko z tej samej rodziny</label>
                            </div>
                        </div>

                        <div id="add_child_8_div" style="display: none">
                            <div class="container_formulaire_marge_haut w-container">
                                <h1 class="titre_surligne_blocs">
                                    <span class="text_span_surlignage_blanc">Ósme dziecko</span>
                                </h1>

                                <label for="coords_birthdate_8" class="categorie_formulaire">Data urodzenia*</label>
                                <input type="text" class="js-datepicker-birthdate champ w-input " maxlength="256" name="coords_birthdate_8" data-name="coords_birthdate_8" placeholder="DD.MM.RRRR" id="coords_birthdate_8" value="">

                                <label for="coords_firstname_8" class="categorie_formulaire">Imię*</label>
                                <input type="text" class="champ w-input " maxlength="256" name="coords_firstname_8" data-name="coords_firstname_8" placeholder="" id="coords_firstname_8" value="">
				<label for="coords_name_8" class="categorie_formulaire">Nazwisko*</label>
				<input type="text" class="champ w-input " maxlength="256" name="coords_name_8" data-name="coords_name_8" placeholder="" id="coords_name_8" value="">

                            </div>
                            <div class="checkbox-field w-clearfix w-checkbox">
                                <input type="checkbox" id="add_child_9" name="add_child_9" data-name="add_child_9" class="checkbox w-checkbox-input" >
                                <label for="add_child_9" class="legende w-form-label">Dodaj kolejne dziecko z tej samej rodziny</label>
                            </div>
                        </div>

                        <div id="add_child_9_div" style="display: none">
                            <div class="container_formulaire_marge_haut w-container">
                                <h1 class="titre_surligne_blocs">
                                    <span class="text_span_surlignage_blanc">Dziewiąte dziecko</span>
                                </h1>

                                <label for="coords_birthdate_9" class="categorie_formulaire">Data urodzenia*</label>
                                <input type="text" class="js-datepicker-birthdate champ w-input " maxlength="256" name="coords_birthdate_9" data-name="coords_birthdate_9" placeholder="DD.MM.RRRR" id="coords_birthdate_9" value="">

                                <label for="coords_firstname_9" class="categorie_formulaire">Imię*</label>
                                <input type="text" class="champ w-input " maxlength="256" name="coords_firstname_9" data-name="coords_firstname_9" placeholder="" id="coords_firstname_9" value="">
				<label for="coords_name_9" class="categorie_formulaire">Nazwisko*</label>
				<input type="text" class="champ w-input " maxlength="256" name="coords_name_9" data-name="coords_name_9" placeholder="" id="coords_name_9" value="">
                            </div>
                            <div class="checkbox-field w-clearfix w-checkbox">
                                <input type="checkbox" id="add_child_10" name="add_child_10" data-name="add_child_10" class="checkbox w-checkbox-input" >
                                <label for="add_child_10" class="legende w-form-label">Dodaj kolejne dziecko z tej samej rodziny</label>
                            </div>
                        </div>

                        <div id="add_child_10_div" style="display: none">
                            <div class="container_formulaire_marge_haut w-container">
                                <h1 class="titre_surligne_blocs">
                                    <span class="text_span_surlignage_blanc">Dziesiąte dziecko</span>
                                </h1>

                                <label for="coords_birthdate_10" class="categorie_formulaire">Data urodzenia*</label>
                                <input type="text" class="js-datepicker-birthdate champ w-input " maxlength="256" name="coords_birthdate_10" data-name="coords_birthdate_10" placeholder="DD.MM.RRRR" id="coords_birthdate_10" value="">

                                <label for="coords_firstname_10" class="categorie_formulaire">Imię*</label>
                                <input type="text" class="champ w-input " maxlength="256" name="coords_firstname_10" data-name="coords_firstname_10" placeholder="" id="coords_firstname_10" value="">
				<label for="coords_name_10" class="categorie_formulaire">Nazwisko*</label>
				<input type="text" class="champ w-input " maxlength="256" name="coords_name_10" data-name="coords_name_10" placeholder="" id="coords_name_10" value="">

                            </div>
                        </div>

                        <br><br>
                        <div class=" w-container">
                            <input type="submit" value="Kontynuuj" data-wait="Proszę czekać..." class="bouton_continuer w-button">
                        </div>
                    </div>

                </div>

                <div class="colonne_vide w-col w-col-1 w-col-stack"></div>

            </div>
        </form>

        <div class="hide-desktop">
            <div class="container_infos_liste_bleu w-container">

        
</div>
<div class="container_formulaire_marge_haut w-container">
    </div>        </div>

    </div>



{"id":34210,"date":"2018-03-15T11:01:11","date_gmt":"2018-03-15T11:01:11","guid":{"rendered":"https:\/\/2018.lanterne.ch\/inscription\/etape-1\/?lang=pl"},"modified":"2020-06-12T13:25:04","modified_gmt":"2020-06-12T13:25:04","slug":"etape-1","status":"publish","type":"page","link":"https:\/\/www.lanterne-magique.org\/pl\/inscription\/etape-1\/","title":{"rendered":"krok 1"},"content":{"rendered":"\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":34202,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-registration-form.php","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-34210","page","type-page","status-publish","hentry"],"acf":{"sidebar_title":"ZAPISANIE SI\u0118 DO KLUBU MAGICZNEJ LATARNI TO...","sidebar_content":"<ul>\n<li>9 nowych film\u00f3w do odkrycia ka\u017cdego roku<\/li>\n<li>ilustrowana broszura, kt\u00f3r\u0105 dzieci otrzymuj\u0105 przed pokazem<\/li>\n<li>zabawny I bogaty w informacje program, pomocny przy przedstawianiu ka\u017cdego filmu<\/li>\n<li>wszystko to w bardzo korzystnej cenie!<\/li>\n<\/ul>\n","sidebar_image":false},"_links":{"self":[{"href":"https:\/\/www.lanterne-magique.org\/pl\/wp-json\/wp\/v2\/pages\/34210","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.lanterne-magique.org\/pl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.lanterne-magique.org\/pl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.lanterne-magique.org\/pl\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lanterne-magique.org\/pl\/wp-json\/wp\/v2\/comments?post=34210"}],"version-history":[{"count":5,"href":"https:\/\/www.lanterne-magique.org\/pl\/wp-json\/wp\/v2\/pages\/34210\/revisions"}],"predecessor-version":[{"id":66927,"href":"https:\/\/www.lanterne-magique.org\/pl\/wp-json\/wp\/v2\/pages\/34210\/revisions\/66927"}],"up":[{"embeddable":true,"href":"https:\/\/www.lanterne-magique.org\/pl\/wp-json\/wp\/v2\/pages\/34202"}],"wp:attachment":[{"href":"https:\/\/www.lanterne-magique.org\/pl\/wp-json\/wp\/v2\/media?parent=34210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}