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Facing issue while qualifying a lead

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I have created a movie app which has Leads as one of it's entities. The idea is to convert a Lead into a Contact once they are selected for a movie. However, white trying to qualify the lead I am facing the following error:
These are the error details:

The error log file displays the following content: {/ActivityId/:/20920381-433b-4347-bff2-eda2f230f810/,/errorCode/:2147746405,/message/:/There can only be a single parameter record./,/stacktrace/://,/Timestamp/:1694671775849}
Finally, these are the fields that I have filled in the form:
Any help will be greatly appreciated.
Thank you