design-conversation-x-valerie-prakelt-x-sarah-illenberger.airlst-pages.app
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18.194.28.49
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URL:
https://design-conversation-x-valerie-prakelt-x-sarah-illenberger.airlst-pages.app/
Submission: On June 15 via api from US — Scanned from DE
Submission: On June 15 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form id="registration-form" class="flex flex-col" x-on:submit.prevent="submit">
<div>
</div>
<div class="registration-form-wrapper">
<div class="registration-form-container">
<div>
</div>
<div class="flex flex-col show-title mb-6">
<div class="flex w-full justify-center lg:justify-start section-title">
<h2>Registration</h2>
</div>
</div>
<div>
<div class="registration-form-inner-wrapper mt-4">
<div class="w-full">
<div class="registration-fields-wrapper grid grid-cols-1 form-fields-grid md:grid-cols-12">
<div wire:key=".20502" data-key-lang="en-GB" class="flex md:col-span-6 flex-col items-center form-field
type-text
" data-field-text="">
<div class="w-full form-group form-wrapper">
<label class="mr-2" id="label-20502" for="20502">First name*</label>
<input wire:ignore="" class="form-item form-element" type="text" name="contact.first_name" id="20502">
</div>
</div>
<div wire:key=".20503" data-key-lang="en-GB" class="flex md:col-span-6 flex-col items-center form-field
type-text
" data-field-text="">
<div class="w-full form-group form-wrapper">
<label class="mr-2" id="label-20503" for="20503">Last name*</label>
<input wire:ignore="" class="form-item form-element" type="text" name="contact.last_name" id="20503">
</div>
</div>
<div wire:key=".20504" data-key-lang="en-GB" class="flex md:col-span-6 flex-col items-center form-field
type-select
" data-field-select="">
<div class="w-full form-group form-wrapper select-dropdown-field">
<div>
<label class="mr-2" id="label-20504" for="20504">Gender*</label>
</div>
<select class="form-item form-element" name="contact.sex" id="20504">
<option selected="" value=""> Please choose </option>
<option value="male">Male </option>
<option value="female">Female </option>
<option value="diverse">Diverse </option>
</select>
</div>
</div>
<div wire:key=".20505" data-key-lang="en-GB" class="flex md:col-span-6 flex-col items-center form-field
type-text
" data-field-text="">
<div class="w-full form-group form-wrapper">
<label class="mr-2" id="label-20505" for="20505">Email*</label>
<input wire:ignore="" class="form-item form-element" type="text" name="contact.email" id="20505">
</div>
</div>
<div wire:key=".20506" data-key-lang="en-GB" class="flex md:col-span-6 flex-col items-center form-field
type-date
" data-field-date="">
<div class="w-full form-group form-wrapper" wire:ignore="">
<div>
<label class="mr-2" id="label-20506" for="20506">Date of Birth*</label>
</div>
<input type="date" class="form-item form-element" name="extended_fields.date_of_birth_1" id="20506">
</div>
</div>
</div>
</div>
</div>
</div>
<div>
<div class="py-4 registration-companions">
<h4>Companions</h4>
<div class="my-4">
</div>
<a wire:click="addCompanion" class="btn btn-action btn-primary" style="width: max-content;">
Add Companion
</a>
</div>
</div>
<div>
</div>
<!-- Captcha -->
<div>
<div></div>
</div>
<div>
<div id="form-actions-section" class="form-actions">
<div class="flex justify-center items-center">
<div>
<button wire:loading.attr="disabled" wire:key="registration-submit-button" type="button" x-on:click="submit" wire:loading.class="btn-disabled" wire:loading.class.remove="btn-primary"
class="btn btn-action submit-registration-btn btn-primary justify-center items-center" style="display: flex">
<span wire:loading="" wire:target="submit">
<svg class="submission-spinner animate-spin -ml-1 mr-3 h-5 w-5 text-white" xmlns="http://www.w3.org/2000/svg" fill="none" viewBox="0 0 24 24">
<circle class="opacity-25" cx="12" cy="12" r="10" stroke="currentColor" stroke-width="4"></circle>
<path class="opacity-75" fill="currentColor" d="M4 12a8 8 0 018-8V0C5.373 0 0 5.373 0 12h4zm2 5.291A7.962 7.962 0 014 12H0c0 3.042 1.135 5.824 3 7.938l3-2.647z"></path>
</svg>
</span>
<span>Register Now</span>
</button>
</div>
</div>
</div>
</div>
</div>
</div>
</form>Text Content
English CONSENT TO COOKIES & DATA PROCESSING On this website we use cookies and similar functions to process end device information and personal data. The processing is used for purposes such as to integrate content, external services and elements from third parties and statistical analysis/measurement. Depending on the function, data is passed on to third parties and processed by them. This consent is voluntary, not required for the use of our website and can be revoked at any time using the icon on the bottom left. Imprint | Privacy Policy | Customise your choice Deny Accept all Registration Contact DESIGN CONVERSATION JULY 18 | 6 - 9 PM tbd REGISTRATION First name* Last name* Gender* Please choose Male Female Diverse Email* Date of Birth* COMPANIONS Add Companion Register Now Imprint | Data privacy