How can I set up my gravity form so that the user can set the date their completed form is sent

I want to set up a form that allows the user to set the date at which the form is sent to a second email address. Much like with google mail where you can choose the date to send the form. I want the form to go to the admin email within WP engine, BUT I want the user to be able to input a second email address and choose when the completed form is sent to THAT email. IS this possible?

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