{"id":3608,"date":"2026-07-21T10:45:25","date_gmt":"2026-07-21T08:45:25","guid":{"rendered":"https:\/\/genomikadlapolski.pl\/?page_id=3608"},"modified":"2026-07-21T10:50:18","modified_gmt":"2026-07-21T08:50:18","slug":"formularz-swiadomej-zgody-2","status":"publish","type":"page","link":"https:\/\/genomikadlapolski.pl\/en\/formularz-swiadomej-zgody-2\/","title":{"rendered":"Formularz \u015bwiadomej zgody"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3608\" class=\"elementor elementor-3608\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-abf88c2 e-flex e-con-boxed e-con e-parent\" data-id=\"abf88c2\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[],&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e721f57 elementor-widget elementor-widget-jet-form-builder-form\" data-id=\"e721f57\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"jet-form-builder-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<link rel='stylesheet' id='wp-block-library-css' href='https:\/\/genomikadlapolski.pl\/wp-includes\/css\/dist\/block-library\/common.min.css?ver=f9905a724d9a6aba0eecb1e84581a5a5' media='all' \/>\n<link rel=\"preconnect\" href=\"https:\/\/fonts.gstatic.com\"><style id=\"jet-form-builder-3303-inline-css\">.jet-sm-gb-64a9b4d0-5da2-4a84-9415-97d8b3775b45 .jet-form-builder__desc{background-color: ;} .jet-sm-gb-64a9b4d0-5da2-4a84-9415-97d8b3775b45 .jet-form-builder__field-wrap input{border-style:none;border-width:1px 1px 1px 1px;border-radius:1px 1px 1px 1px;border-color:#000000;} .jet-sm-gb-6e0a1d72-f292-43b7-bcae-b0cf5119de82 .jet-form-builder__desc{background-color: ;} .jet-sm-gb-fb64beb2-5309-49e7-8e57-547737c63a8f .jet-form-builder__desc{background-color: ;} .jet-sm-gb-fb64beb2-5309-49e7-8e57-547737c63a8f-row .jet-form-builder__calculated-field, .jet-sm-gb-fb64beb2-5309-49e7-8e57-547737c63a8f .jet-form-builder-row .jet-form-builder__calculated-field--child, .jet-sm-gb-fb64beb2-5309-49e7-8e57-547737c63a8f .jet-form-builder__calculated-field{background-color: ;} .jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab .jet-form-builder__desc{background-color: ;} .jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab .jet-form-builder__field-wrap select{border-style:none;border-width:1px 1px 1px 1px;border-radius:1px 1px 1px 1px;border-color:#000000;} .jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab .jet-form-builder__field-wrap div.components-input-control__backdrop.components-input-control__backdrop.components-input-control__backdrop{border-style:none;border-width:1px 1px 1px 1px;border-radius:1px 1px 1px 1px;border-color:#000000;} .jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab .jet-form-builder__field-wrap .components-checkbox-control__input-container input:checked{background-color: #398ffc;} .jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab .jet-form-builder__field-wrap label :checked + span::before{background-color: #398ffc;} .jet-sm-gb-bd448b93-63fc-45a7-ab07-a0af0dcf9197 .jet-form-builder__desc{background-color: ;} .jet-sm-gb-bd448b93-63fc-45a7-ab07-a0af0dcf9197-row .jet-form-builder__calculated-field, .jet-sm-gb-bd448b93-63fc-45a7-ab07-a0af0dcf9197 .jet-form-builder-row .jet-form-builder__calculated-field--child, .jet-sm-gb-bd448b93-63fc-45a7-ab07-a0af0dcf9197 .jet-form-builder__calculated-field{background-color: ;} .jet-sm-gb-6908a89a-9b00-4f51-83e1-32e51b8091c6 .jet-form-builder__desc{background-color: ;} <\/style><form  class=\"jet-form-builder layout-column submit-type-reload\" action=\"https:\/\/genomikadlapolski.pl\/en\/wp-json\/wp\/v2\/pages\/3608\/?t8G86M=qP02D03R84ci&amp;method=reload\" method=\"POST\" data-form-id=\"3303\" data-layout=\"column\" enctype=\"multipart\/form-data\" novalidate=\"null\" ssr_validation_method=\"rest\"><input type=\"hidden\" id=\"_wpnonce_3303\" name=\"_wpnonce\" value=\"f5c5535b22\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/3608\" \/>\r\n<input type=\"hidden\" name=\"_jfb_current_render_states[]\" value=\"DEFAULT.STATE\" data-jfb-sync \/><input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_booking_form_id\" data-field-name=\"_jet_engine_booking_form_id\" value=\"3303\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"_jet_engine_refer\" data-field-name=\"_jet_engine_refer\" value=\"https:\/\/genomikadlapolski.pl\/en\/wp-json\/wp\/v2\/pages\/3608\/\">\n<input type=\"hidden\" class=\"jet-form-builder__field hidden-field\" name=\"__queried_post_id\" data-field-name=\"__queried_post_id\" value=\"3608\">\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dane osobowe<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-6e0a1d72-f292-43b7-bcae-b0cf5119de82 cb-shuv9d39\" data-block-id=\"jet-sm-gb-6e0a1d72-f292-43b7-bcae-b0cf5119de82\" ><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Kod uczestnika <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input placeholder=\"Wpisz kod uczestnika (G4_....)\" required=\"required\" name=\"kod_uczestnika\" id=\"kod_uczestnika\" type=\"text\" data-field-name=\"kod_uczestnika\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_ySm5ACbn\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-6e0a1d72-f292-43b7-bcae-b0cf5119de82 cb-mors4ykm\" data-block-id=\"jet-sm-gb-6e0a1d72-f292-43b7-bcae-b0cf5119de82\" ><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Imi\u0119 i nazwisko osoby wprowadzaj\u0105cej dane <span class=\"jet-form-builder__required\">*<\/span><\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input placeholder=\"Podaj swoje imi\u0119\" required=\"required\" name=\"imie_nazwisko\" id=\"imie_nazwisko\" type=\"text\" data-field-name=\"imie_nazwisko\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_96vqLVdW\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-6908a89a-9b00-4f51-83e1-32e51b8091c6 cb-tmbh89yw\" data-block-id=\"jet-sm-gb-6908a89a-9b00-4f51-83e1-32e51b8091c6\" ><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Dodatkowe adnotacje<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input placeholder=\"np. spokrewnione osoby w przypadku trio\" name=\"comments\" id=\"comments\" type=\"text\" data-field-name=\"comments\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_kL9jmnrh\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-64a9b4d0-5da2-4a84-9415-97d8b3775b45 cb-r5514d06\" data-block-id=\"jet-sm-gb-64a9b4d0-5da2-4a84-9415-97d8b3775b45\" ><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Imi\u0119 i nazwisko uczestnika pe\u0142noletniego<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"imie_nazwisko_uczestnika_pelnoletniego\" id=\"imie_nazwisko_uczestnika_pelnoletniego\" type=\"text\" data-field-name=\"imie_nazwisko_uczestnika_pelnoletniego\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_QHMqgvfb\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-64a9b4d0-5da2-4a84-9415-97d8b3775b45 cb-oi1fxq1b\" data-block-id=\"jet-sm-gb-64a9b4d0-5da2-4a84-9415-97d8b3775b45\" ><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Imi\u0119 i nazwisko uczestnika ma\u0142oletniego<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"imie_nazwisko_uczestnika_maloletniego\" id=\"imie_nazwisko_uczestnika_maloletniego\" type=\"text\" data-field-name=\"imie_nazwisko_uczestnika_maloletniego\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_mQGyz5eX\">\n\t\t\t\t\t<\/div>\n<\/div><\/div><\/div>\n<\/div>\n\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-64a9b4d0-5da2-4a84-9415-97d8b3775b45 cb-g4r12ytu\" data-block-id=\"jet-sm-gb-64a9b4d0-5da2-4a84-9415-97d8b3775b45\" ><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Imi\u0119 i nazwisko opiekuna prawnego uczestnika<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input name=\"imie_nazwisko_opiekuna_prawnego\" id=\"imie_nazwisko_opiekuna_prawnego\" type=\"text\" data-field-name=\"imie_nazwisko_opiekuna_prawnego\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_FjPhwtbC\">\n\t\t\t\t\t<\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-bbm2wu1j\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">Wyra\u017cam zgod\u0119 na pobranie materia\u0142u biologicznego:<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"zgoda_mat_biol[]\" value=\"krew\" data-field-name=\"zgoda_mat_biol\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>krew<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"zgoda_mat_biol[]\" value=\"\u015blina\" data-field-name=\"zgoda_mat_biol\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>\u015blina<\/span><\/label><\/div><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"zgoda_mat_biol[]\" value=\"tkanka\" data-field-name=\"zgoda_mat_biol\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tkanka<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-l3q8a3ka\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">zgoda na biobankowanie materia\u0142u i wyizolowanych kwas\u00f3w nukleinowych<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"zgoda_biobankowanie\" value=\"tak\" data-field-name=\"zgoda_biobankowanie\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tak<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-dfus6yry\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">zgoda na przechowywanie danych<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"zgoda_przechowywanie_danych\" value=\"tak\" data-field-name=\"zgoda_przechowywanie_danych\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tak<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-sbepv11r\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">oswiadczenie uczestnika pelnoletniego<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"oswiadczenie_uczestnika_pelnoletniego\" value=\"tak\" data-field-name=\"oswiadczenie_uczestnika_pelnoletniego\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tak<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-xbpxtdzg\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">oswiadczenie uczestnika ma\u0142oletniego, kt\u00f3ry uko\u0144czy\u0142 13 r.z.<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"oswiadczenie_maloletniego_pow13lat\" value=\"tak\" data-field-name=\"oswiadczenie_maloletniego_pow13lat\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tak<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-ee4jf5zf\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">oswiadczenie opiekuna prawnego uczestnika ma\u0142oletniego<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"oswiadczenie_opiekuna_prawnego_maloletniego\" value=\"tak\" data-field-name=\"oswiadczenie_opiekuna_prawnego_maloletniego\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tak<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n<div class=\" jet-sm-gb-wrapper jet-sm-gb-fb64beb2-5309-49e7-8e57-547737c63a8f\" data-block-id=\"jet-sm-gb-fb64beb2-5309-49e7-8e57-547737c63a8f\" ><div  class=\"jet-form-builder-row field-type-number-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">zgoda na przetwarzanie numeru telefonu<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t<input type=\"number\" class=\"jet-form-builder__field text-field\" placeholder=\"Wpisz numer, je\u015bli zosta\u0142 podany\" name=\"zgoda_telefon\" data-field-name=\"zgoda_telefon\" id=\"zgoda_telefon\" data-jfb-sync=\"null\">\n\t<\/div><div class=\"jet-form-builder__desc\"><small>Je\u015bli zosta\u0142a wyra\u017cona i podany numer telefonu, wpisz go. <\/small><\/div>\n<\/div><\/div>\n\n<div class=\" jet-sm-gb-wrapper jet-sm-gb-bd448b93-63fc-45a7-ab07-a0af0dcf9197\" data-block-id=\"jet-sm-gb-bd448b93-63fc-45a7-ab07-a0af0dcf9197\" ><div  class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">zgoda na przetwarzanie adresu e-mail<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input placeholder=\"Wpisz mail je\u015bli zosta\u0142 podany\" name=\"zgoda_adres_email\" id=\"zgoda_adres_email\" type=\"text\" data-field-name=\"zgoda_adres_email\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_0qUIkKPp\">\n\t\t\t\t\t<\/div><div class=\"jet-form-builder__desc\"><small>Je\u015bli zosta\u0142a wyra\u017cona i podany mail, wpisz go. <\/small><\/div>\n<\/div><\/div>\n\n<div class=\" jet-sm-gb-wrapper jet-sm-gb-bd448b93-63fc-45a7-ab07-a0af0dcf9197\" data-block-id=\"jet-sm-gb-bd448b93-63fc-45a7-ab07-a0af0dcf9197\" ><div  data-value=\"[{&quot;id&quot;:6800,&quot;conditions&quot;:[{&quot;__visible&quot;:true,&quot;value&quot;:&quot;&quot;}],&quot;to_set&quot;:&quot;&quot;}]\" class=\"jet-form-builder-row field-type-text-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">zgoda na przetwarzanie adresu poczty tradycyjnej<\/div><\/div><div class=\"jet-form-builder__field-wrap\">\n\t\t\t\t<input placeholder=\"wpisz adres pocztowy je\u015bli zosta\u0142 podany\" name=\"zgoda_adres_poczty_tradycyjnej\" id=\"zgoda_adres_poczty_tradycyjnej\" type=\"text\" data-field-name=\"zgoda_adres_poczty_tradycyjnej\" class=\"jet-form-builder__field text-field\" data-jfb-sync=\"null\" autocomplete=\"off_ZS3YKaEJ\">\n\t\t\t\t\t<\/div><div class=\"jet-form-builder__desc\"><small>Je\u015bli zosta\u0142a wyra\u017cona i podany adres pocztowy, wpisz go. <\/small><\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-rcw5akkk\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">o\u015bwiadczenie o przyj\u0119ciu warunk\u00f3w ubezpieczenia<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"oswiadczenie_warunki_ubezpieczenia\" value=\"tak\" data-field-name=\"oswiadczenie_warunki_ubezpieczenia\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tak<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-kini13v0\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">zgoda na wykorzystywanie mat. biol. w przysz\u0142ych badaniach<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"zgoda_przyszle_badania\" value=\"tak\" data-field-name=\"zgoda_przyszle_badania\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tak<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-a512p6c1\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">zgoda na wykorzystywanie danych genomowych w Genome of Europe<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"zgoda_genomeOfEurope\" value=\"tak\" data-field-name=\"zgoda_genomeOfEurope\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tak<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-q72nn328\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">markery jednorodzicielskie<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"markery_jednorodzicielskie\" value=\"tak\" data-field-name=\"markery_jednorodzicielskie\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tak<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-s43b1r14\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">warianty patogenne <\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"warianty_patogenne\" value=\"tak\" data-field-name=\"warianty_patogenne\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tak<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab cb-fhmnus4v\" data-block-id=\"jet-sm-gb-58fe77a7-87c4-4cf2-b5e9-15212b6bf1ab\" ><div  class=\"jet-form-builder-row field-type-checkbox-field\" >\n<div class=\"jet-form-builder__label\">\r\n<div class=\"jet-form-builder__label-text\">nie chc\u0119 by\u0107 informowany o \u017cadnych wynikach<\/div><\/div><div class=\"jet-form-builder__fields-group checkradio-wrap\" data-jfb-sync><div class=\"jet-form-builder__field-wrap checkboxes-wrap checkradio-wrap\"><label class=\"jet-form-builder__field-label for-checkbox\">\n\t\t\t<input type=\"checkbox\" name=\"zadne_wyniki\" value=\"tak\" data-field-name=\"zadne_wyniki\"  class=\"jet-form-builder__field checkboxes-field checkradio-field\" data-default-val=\"[&quot;&quot;]\"><span>tak<\/span><\/label><\/div><\/div>\n<\/div><\/div>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<input type=\"hidden\" class=\"captcha-token\" name=\"_captcha_token\" value=\"\"\/>\n\n\n<div class=\"jet-sm-gb-wrapper jet-sm-gb-bb970411-3d1a-4b7c-a29b-c58ab24d91c1 cb-rm0dw3zn\" data-block-id=\"jet-sm-gb-bb970411-3d1a-4b7c-a29b-c58ab24d91c1\" ><div  class=\"jet-form-builder-row field-type-submit-field\" >\n\t<div data-type=\"submit\" class=\"jet-form-builder__action-button-wrapper jet-form-builder__submit-wrap\">\n\t<button class=\"jet-form-builder__action-button jet-form-builder__submit submit-type-reload\" type=\"submit\">Zako\u0144cz i wy\u015blij ankiet\u0119<\/button>\n\t<\/div>\n\t\n<\/div><\/div>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\t<div class=\"jet-form-builder-messages-wrap\" data-form-id=\"3303\"><\/div>\n<\/form>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Dane osobowe Kod uczestnika * Imi\u0119 i nazwisko osoby wprowadzaj\u0105cej dane * Dodatkowe adnotacje Imi\u0119 i nazwisko uczestnika pe\u0142noletniego Imi\u0119 i nazwisko uczestnika ma\u0142oletniego Imi\u0119 i nazwisko opiekuna prawnego uczestnika Wyra\u017cam zgod\u0119 na pobranie materia\u0142u biologicznego: krew \u015blina tkanka zgoda na biobankowanie materia\u0142u i wyizolowanych kwas\u00f3w nukleinowych tak zgoda na przechowywanie danych tak oswiadczenie uczestnika [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_jet_sm_ready_style":"","_jet_sm_style":"","_jet_sm_controls_values":"","_jet_sm_fonts_collection":"","_jet_sm_fonts_links":"","footnotes":""},"class_list":["post-3608","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/genomikadlapolski.pl\/en\/wp-json\/wp\/v2\/pages\/3608","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/genomikadlapolski.pl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/genomikadlapolski.pl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/genomikadlapolski.pl\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/genomikadlapolski.pl\/en\/wp-json\/wp\/v2\/comments?post=3608"}],"version-history":[{"count":10,"href":"https:\/\/genomikadlapolski.pl\/en\/wp-json\/wp\/v2\/pages\/3608\/revisions"}],"predecessor-version":[{"id":3618,"href":"https:\/\/genomikadlapolski.pl\/en\/wp-json\/wp\/v2\/pages\/3608\/revisions\/3618"}],"wp:attachment":[{"href":"https:\/\/genomikadlapolski.pl\/en\/wp-json\/wp\/v2\/media?parent=3608"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}