Online Enrollment Center
Jordan: End of the day, having the content “obscured” in the format you have now is really just an illusion of privacy. It’s really all only one click away…much like this below.
This requires far less scripting and is far easier to manage–especially for you if you’re self-managing it; all quite editable within WordPress.
This is, of course, a rough draft mock-up. Does this variety have potential?