[{"type":"text","required":true,"label":"Name","placeholder":"What is the name on your account?","className":"form-control","name":"name","subtype":"text"},{"type":"text","subtype":"email","required":true,"label":"Email","description":"This is the email we will use to contact you. Please use the email address used to register.","placeholder":"What is the email address linked to your account","className":"form-control","name":"email"},{"type":"select","required":true,"label":"What are you inquiring about?","placeholder":"Please select one...","className":"form-control","name":"select-1621361387322","values":[{"label":"Certification","value":"Certification","selected":true},{"label":"Online, Self-Paced Training","value":"Online, Self-Paced Training","selected":false},{"label":"Live, Virtual Training","value":"Live, Virtual Training","selected":false}]},{"type":"select","required":false,"label":"Which Certification? (if applicable)","description":"Please select the certification you are inquiring about.","placeholder":"If not inquiring about certification, please skip","className":"form-control","name":"select-1655485883193","values":[{"label":"DC:0-5","value":"DC:0-5","selected":true},{"label":"The Growing Brain","value":"The Growing Brain","selected":false},{"label":"Critical Compentencies","value":"Critical Competencies","selected":false}]},{"type":"textarea","required":true,"label":"What Event/Course do you need help with?","description":"Please enter the name of the event or course you are registered for and having trouble with or are interested in attending.","placeholder":"Enter the FULL name of the course/event. Generic names, training dates, and times may cause delays in response","className":"form-control","name":"textarea-1655486006353","subtype":"textarea"},{"type":"textarea","required":true,"label":"Describe the issue","description":"Please give us a brief description of the issue you are encountering. Include course/module name and date/time(if applicable)","placeholder":"Please describe the issue you are experiencing. Include as much details as possible, including date/time of the event and any error messages you are experiencing.","className":"form-control","name":"textarea-1621361517766","subtype":"textarea"}]