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aia-website/www/src/components/FormShell.astro
T
DeCentN2Madness bfed3bee15 fix: restore missing live-site page imagery
- recover and self-host HubSpot-injected page hero assets
- map source heroes to page and library layouts
- restore the consultation form background
- add page imagery auditing
- update asset inventory and migration documentation
2026-06-08 13:17:27 -07:00

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---
const { title = 'Schedule Your Free Consultation', showBackground = false } = Astro.props;
---
<section class:list={['form-section', { 'form-section-background': showBackground }]} aria-labelledby="form-title">
<div class="container form-grid">
<div><p class="eyebrow">Get started</p><h2 id="form-title">{title}</h2><p>Tell our client advocates how we can help. Submission is disabled until a production form backend is selected.</p></div>
<form class="form" method="post" action="">
<!-- TODO: Wire this form to Netlify Forms, a custom API endpoint, or another backend service. -->
<!-- TODO: Add spam protection before production launch. -->
<label>Parent or guardian name<input name="name" autocomplete="name" /></label>
<label>Email<input type="email" name="email" autocomplete="email" /></label>
<label>Phone<input type="tel" name="phone" autocomplete="tel" /></label>
<label>Service of interest<select name="service"><option>ABA Therapy</option><option>Autism Evaluation</option><option>Learner Social Club</option><option>Other</option></select></label>
<label>How can we help?<textarea name="message" rows="5"></textarea></label>
<button class="button" type="submit" disabled aria-describedby="form-note">Submit</button>
<p id="form-note" class="form-note">Online submission is not yet connected. Please call (480) 687-7099.</p>
</form>
</div>
</section>