Block Page - Custom FOrm

Hi All,

I'm new to HTML/Bootstrap/PHP and I'm creating a new custom block page of my own design.

I'd like to have a simple form on the block page that will submit an unblock request to the administrator from the back-end. So, the form should literally just ask for Name / Email Address / Reason for unblock. And then perhaps a checkbox with a "Receive notification when site has been un-blocked?". And of course, finally, the submit button.

How would I get the blocked page information into the form, so that on my email receipt of the form I get, URL that was blocked, plus their information?

Thanks!

You can get some tips from the original block page:

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