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ConfiForms Form Definition
anonymousInputtrue
formNameTextMessageOptIn
registrationFormTitleText Message Opt-In Form

EmailEmailYour Emailtexttrue

NameNameFirst and Last nametexttrue

NumberCell phone numbertexttrue

ParticipateI agree to participate in text messaging this semester for my ENG121/CCR094 coursesfalse[Yes=Yes|No=No|]radio_grouptrue

UnderstandI understand that text messaging for this class will only occur between myself and the Success Coaches for this courseI understandcheckboxtrue

AgreementI understand that this agreement expires on August 7December 11, 2021 (the last day of class)I understandcheckboxtrue

SignatureI agree that my typed name below can be used as a digital representation of my signaturetexttrue


trueSend EmailonCreatedText Message Opt-In Form - [entry.Name]successcoaches@ccconline.org

Form Information

email: [entry.Email]

name: [entry.Name]

number: [entry.Number]


I agree to participate in text messaging this semester for my ENG121/CCR094 courses

[entry.Participate]


I understand that text messaging for this class will only occur between myself and the Success Coaches for this course

[entry.Understand]


I understand that this agreement expires on December 11, 2021 (the last day of class)

[entry.Agreement]


I agree that my typed name below can be used as a digital representation of my signature

[entry.Signature]



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