This form creates nothing. It reaches one person, who reads it and grants access by hand.
One scheme. If you run several, name the one you would put in front of us first.
Before the last field
Sign-in is Microsoft or Google. Give an address that works with one of them.
Microsoft 365, Outlook, Google Workspace or Gmail. Any other mailbox is granted access and then stranded at a sign-in page that cannot let you in. There is no password login.