Class Intake Form — Digital Dropout

Book Your Class

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First Name

Last Name

What’s your role?

What's your Instagram?

What's your website?

What can we help you with?

Digital Dummy (Beginner)

Digital Dabbler (Intermediate)

Digital Dazzler (Advanced)

How many students will be attending?

What is your ideal Class date?

We will share some potential options if you are unsure

MM

DD

YYYY

Is there anything else you'd like us to know?

We're looking forward to connecting.

Thank you so much for filling out this form!