AdWords Form does not create a new account

1. Go to this new AdWord created on Beta - http://beta.curriki.org/awu/SearchEmailJoin1209Science?xpage=popup
2. Fill it in correctly to become a member and submit.

Bug
Error number 4001 in 4: Error while parsing velocity page xwiki:AdWordsJump.SearchEmailJoin1209Science Wrapped Exception: Failed to evaluate content with id Search Email Join1209Science

Error number 4001 in 4: Error while parsing velocity page xwiki:AdWordsJump.SearchEmailJoin1209Science
Wrapped Exception: Failed to evaluate content with id Search Email Join1209Science
com.xpn.xwiki.XWikiException: Error number 4001 in 4: Error while parsing velocity page xwiki:AdWordsJump.SearchEmailJoin1209Science
Wrapped Exception: Failed to evaluate content with id Search Email Join1209Science
at com.xpn.xwiki.render.XWikiVelocityRenderer.evaluate(XWikiVelocityRenderer.java:122)
at com.xpn.xwiki.render.XWikiVelocityRenderer.render(XWikiVelocityRenderer.java:94)
at com.xpn.xwiki.render.DefaultXWikiRenderingEngine.renderText(DefaultXWikiRenderingEngine.java:291)
at com.xpn.xwiki.render.DefaultXWikiRenderingEngine.renderText(DefaultXWikiRenderingEngine.java:221)
at com.xpn.xwiki.render.DefaultXWikiRenderingEngine.renderText(DefaultXWikiRenderingEngine.java:189)
at com.xpn.xwiki.internal.display.XWiki10DocumentContentDisplayer.display(XWiki10DocumentContentDisplayer.java:65)
at org.xwiki.display.internal.DocumentContentDisplayer.display(DocumentContentDisplayer.java:124)
at org.xwiki.display.internal.DocumentContentDisplayer.display(DocumentContentDisplayer.java:54)
at org.xwiki.display.internal.DefaultDocumentDisplayer.display(DefaultDocumentDisplayer.java:80)
at org.xwiki.display.internal.DefaultDocumentDisplayer.display(DefaultDocumentDisplayer.java:38)
at com.xpn.xwiki.internal.sheet.SheetDocumentDisplayer.display(SheetDocumentDisplayer.java:113)
at com.xpn.xwiki.internal.sheet.SheetDocumentDisplayer.display(SheetDocumentDisplayer.java:57)
at org.xwiki.display.internal.ConfiguredDocumentDisplayer.display(ConfiguredDocumentDisplayer.java:67)
at org.xwiki.display.internal.ConfiguredDocumentDisplayer.display(ConfiguredDocumentDisplayer.java:41)
at com.xpn.xwiki.doc.XWikiDocument.getRenderedContent(XWikiDocument.java:862)
at com.xpn.xwiki.doc.XWikiDocument.getRenderedContent(XWikiDocument.java:841)
at com.xpn.xwiki.doc.XWikiDocument.getRenderedContent(XWikiDocument.java:872)

Etc.