First name (required)

Second name (required)

Phone (required)

E-mail (required)

Additional participants:

Adults:
0123456789

Children 4-10:
0123456789

Children 0-3:
0123456789

Animals:
0123456789

How will you get there:
I have my own carI have my own car and can ride someoneI need a ride

Eventually - how many people could you take:
0123456789

Other (ie. disabled person, kid with pram, bigger room because of kids etc.)

"I hereby declare that I am aware that sending the application is tantamount to agreeing to the processing of my personal data for the purposes of organizing a church trip (in accordance with the Act of 29.08.1997 on the Protection of Personal Data; consolidated text: Dz. U. z 2002r. Nr 101, poz. 926 ze zm.)".

"Until May 31, 2021, I undertake to make an advance payment for the stay of the reported people for the above-mentioned church holiday trip.".