Online Course & Bootcamp Registration — Kickoff intake form (public) for Education. Embeddable version — a transparent, chrome-free form that floats over your own website design (pair with the standalone version for a hosted page).
Register for an online course or bootcamp. We’ll confirm your cohort or self-paced start, make sure your setup is ready, and send next steps. Under-18 learners, please have a parent or guardian register for you.
What it collects (by section):
- Your details — First name [short text]; Last name [short text]; Email address [short text]; Contact Role (education) [dropdown: Student / Parent/Guardian / Adult learner / School administrator / Counselor / …]; Age Band (education) [dropdown: <10 / 10-12 / 13-15 / 16-18 / 19-22 / …].
- What you’re enrolling in — Registering for [dropdown: Course enrollment / Tutoring package / Exam prep / Consultation only / Program info]; Course topic / track [multi-select: Math / Reading/Writing / Science / Social Studies / Languages / …]; What you want to get out of it [multi-select: Grade improvement / Skill mastery / Catch-up/remediation / Acceleration/Enrichment / Credit recovery / …]; Primary Learning Goal (education) [short text].
- Format & schedule — Cohort (live) or self-paced? [dropdown: In-person / Online live / Hybrid / Self-paced (asynchronous)]; Preferred Study Days (education) [multi-select: Mon / Tue / Wed / Thu / Fri / …]; Preferred Time Blocks (education) [dropdown: Early morning / Mid-morning / Afternoon / Evening / Variable]; Session Length Preference (education) [dropdown: 45 min / 60 min / 75 min / 90 min / 120 min].
- Your setup — Device Access (education) [multi-select: Laptop/Desktop / Tablet / Smartphone / Shared device / None]; Internet Reliability (education) [dropdown: Consistent / Occasional issues / Unreliable]; Platforms you’ve used before [multi-select: Google Classroom / Canvas / Schoology / Blackboard / Microsoft Teams / …].
- Enrollment & payment — Package Type (education) [dropdown: Intro session / 5-pack / 10-pack / Monthly subscription / Semester program / …]; Payment Method Preference (education) [dropdown: ACH / Credit/Debit card / Check / Employer/sponsor / Other]; Scholarship/Financial Aid Interest [dropdown: No / Yes - info requested / Yes - applied / Approved]. Package and how you’d like to pay — references only, never account numbers.
- Anything else — Education Notes (client-specific) [long text].
Required: Email address, Registering for (kept low-friction).
Form type: Kickoff intake (in), public. Niche: Education. Deployment: embed.
Best for / surface when: Education client workflow — online course & bootcamp registration.