enroll.wondrhealth.com Open in urlscan Pro
3.213.45.79  Public Scan

Form analysis
2 forms found in the DOM

<form data-v-57e73e67="" novalidate="novalidate" class="form-floating-labels fl-form">
  <div data-v-57e73e67="" class="d-flex justify-content-center card-form">
    <div data-v-57e73e67="" style="width: 100%; max-width: 300px;">
      <div data-v-57e73e67="" class="form-group centered-input" style="margin-bottom: 44px;">
        <div data-v-57e73e67="">
          <div class="fl-wrap fl-wrap-input"><label data-v-57e73e67="" for="field_email" class="fl-label">Email Address</label><input data-v-57e73e67="" type="email" id="field_email" data-placeholder="Email Address" placeholder="Email Address"
              aria-describedby="Email" tabindex="1" data-contentful="user_email" class="form-control form-control-lg text-center fl-input"></div><!----><!---->
        </div>
      </div>
      <p data-v-57e73e67=""><button data-v-57e73e67="" type="submit" tabindex="3" data-contentful="body:button_next" class="btn btn-primary-light shadow btn-block">Next</button></p>
      <p data-v-57e73e67="" class="mt-4"></p>
      <div data-v-57e73e67="" class="d-flex justify-content-center">
        <div class="S9gUrf-YoZ4jf" style="position: relative;">
          <div></div><iframe src="https://accounts.google.com/gsi/button?client_id=405820707410-ohpetmo3uiaqva1bpfc33h1rnrsh3p4h.apps.googleusercontent.com&amp;iframe_id=gsi_955225_656744&amp;as=uGGWF2Wsa4MSn4PZaErI%2Fw"
            allow="identity-credentials-get" id="gsi_955225_656744" title="Schaltfläche „Über Google anmelden“" style="display: block; position: relative; top: 0px; left: 0px; height: 44px; width: 227px; border: 0px; margin: -2px -10px;"></iframe>
        </div>
      </div>
    </div>
  </div>
</form>

POST

<form method="post" novalidate="novalidate" class="js-waitlist-form form-floating-labels fl-form">
  <div class="d-flex justify-content-center card-form">
    <div style="width: 100%; max-width: 300px;">
      <div class="form-group">
        <div><span class="form-text small text-danger">
            <div class="fl-wrap fl-wrap-input"><label for="first_name" class="fl-label">First Name</label><input type="text" id="first_name" name="first_name" placeholder="First Name" aria-label="First Name" data-placeholder="First Name"
                data-contentful="modal:waitlist:first_name" class="form-control form-control-lg fl-input"></div><span></span>
          </span></div>
      </div>
      <div class="form-group">
        <div><span class="form-text small text-danger">
            <div class="fl-wrap fl-wrap-input fl-is-required"><label for="last_name" class="fl-label">Last Name</label><input type="text" id="last_name" name="last_name" placeholder="Last Name" aria-label="Last Name" required="required"
                data-placeholder="Last Name" data-contentful="modal:waitlist:last_name" class="form-control form-control-lg fl-input"></div><span></span>
          </span></div>
      </div>
      <div class="form-group">
        <div><span class="form-text small text-danger">
            <div class="fl-wrap fl-wrap-input fl-is-required"><label for="user_email" class="fl-label">Email</label><input type="text" id="user_email" name="user_email" placeholder="Email" aria-label="Email" required="required"
                data-placeholder="Email" data-contentful="modal:waitlist:email_address" class="form-control form-control-lg fl-input"></div><span></span>
          </span></div>
      </div><input type="hidden" name="C_Corporate_Clients_item_id" id="C_Corporate_Clients_item_id" value="' . (int)$corpClientRow['item_id'] . '"><input type="hidden" name="code2" id="code2" value="' .$code2. '">
      <p><button type="submit" data-contentful="body:button_join_waitlist" class="btn btn-block shadow text-spacing-4 btn-primary-light" disabled="disabled">Join the Waitlist</button></p>
      <p><button type="button" data-dismiss="modal" data-contentful="body:button_cancel" class="btn btn-block btn-no-shadow text-spacing-4 btn-white"> Cancel </button></p>
    </div>
  </div>
</form>

Text Content

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