register.journey.live Open in urlscan Pro
64.225.55.252  Public Scan

Form analysis
1 forms found in the DOM

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<form class="body-content animate__animated animate__fadeIn" action="#">
  <h1>Self Registration Form</h1>
  <div class="MuiFormControl-root MuiTextField-root field"><label class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-outlined Mui-required Mui-required" data-shrink="false">First Name<span
        aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk"> *</span></label>
    <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-formControl"><input aria-invalid="false" required="" type="text" class="MuiInputBase-input MuiOutlinedInput-input" value="">
      <fieldset aria-hidden="true" class="jss1 MuiOutlinedInput-notchedOutline">
        <legend class="jss3"><span>First Name&nbsp;*</span></legend>
      </fieldset>
    </div>
  </div>
  <div class="MuiFormControl-root MuiTextField-root field"><label class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-outlined Mui-required Mui-required" data-shrink="false">Last Name<span
        aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk"> *</span></label>
    <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-formControl"><input aria-invalid="false" required="" type="text" class="MuiInputBase-input MuiOutlinedInput-input" value="">
      <fieldset aria-hidden="true" class="jss1 MuiOutlinedInput-notchedOutline">
        <legend class="jss3"><span>Last Name&nbsp;*</span></legend>
      </fieldset>
    </div>
  </div>
  <div class="MuiFormControl-root MuiTextField-root field"><label class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-outlined Mui-required Mui-required" data-shrink="false">Email<span
        aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk"> *</span></label>
    <div class="MuiInputBase-root MuiOutlinedInput-root MuiInputBase-formControl"><input aria-invalid="false" required="" type="text" class="MuiInputBase-input MuiOutlinedInput-input" value="">
      <fieldset aria-hidden="true" class="jss1 MuiOutlinedInput-notchedOutline">
        <legend class="jss3"><span>Email&nbsp;*</span></legend>
      </fieldset>
    </div>
  </div>
  <div class="MuiFormControl-root MuiTextField-root field"><label
      class="MuiFormLabel-root MuiInputLabel-root MuiInputLabel-formControl MuiInputLabel-animated MuiInputLabel-shrink MuiInputLabel-outlined Mui-disabled Mui-disabled MuiFormLabel-filled Mui-required Mui-required" data-shrink="true">Company<span
        aria-hidden="true" class="MuiFormLabel-asterisk MuiInputLabel-asterisk"> *</span></label>
    <div class="MuiInputBase-root MuiOutlinedInput-root Mui-disabled Mui-disabled MuiInputBase-formControl"><input aria-invalid="false" disabled="" required="" type="text" class="MuiInputBase-input MuiOutlinedInput-input Mui-disabled Mui-disabled"
        value="Walgreens Family">
      <fieldset aria-hidden="true" class="jss1 MuiOutlinedInput-notchedOutline">
        <legend class="jss3 jss4"><span>Company&nbsp;*</span></legend>
      </fieldset>
    </div>
  </div>
  <div class="email-notice">Check your email inbox for instructions on how to start using Journey LIVE!</div><button class="MuiButtonBase-root MuiButton-root MuiButton-text field paper-submit-button" tabindex="0" type="submit"><span
      class="MuiButton-label">Submit</span><span class="MuiTouchRipple-root"></span></button>
</form>

Text Content

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LIVE


SELF REGISTRATION FORM

First Name *
First Name *
Last Name *
Last Name *
Email *
Email *
Company *
Company *
Check your email inbox for instructions on how to start using Journey LIVE!
Submit