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Cruise Control: Nurse Edition

Carnival Jubilee Oceanview **SOLO** Cabin (At request-pricing subject to change) —

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<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h3" label="Please provide the information below to book your cabin. PLEASE only complete this form when you are prepared to make your deposit. Additional guests sharing your cabin will need to complete the secondary form and list you as their roommate. If you have any questions about this form you can contact Rebecca at The Rebecca Gibson Travel Agency directly at RGibsonTravel@outlook.com or 513-463-6788. Once this form is received, you will receive a booking confirmation and payment authorization link within 48 hours. Thank you."/>&#13;
		<field type="text" required="true" label="How did you find out about this group cruise?&amp;nbsp;" name="how-did-you-find-out-about-this-group-cruise-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Guest #1 - Main contact guest&amp;nbsp;"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Date of Birth&amp;nbsp;" description="MM/DD/YYYYY" name="date-of-birth-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Gender&amp;nbsp;" name="gender-" className="form-control">&#13;
			<option label="F" value="f">F</option>&#13;
			<option label="M" value="m">M</option>&#13;
			<option label="X " value="x-">X </option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your airport code?&amp;nbsp;" description="Example: CVG- Cincinnati/KY Airport" name="what-is-your-airport-code-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Have you cruised with Carnival Cruise line before?&amp;nbsp;" name="have-you-cruised-with-carnival-cruise-line-before-" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" description="If you have a VIFP number please add it here." name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="text" required="true" label="What state are you are resident of?&amp;nbsp;" description="Discounts are often associated with state of residence." name="what-state-are-you-are-resident-of-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="How many people will be in your cabin? NOTE: This option may vary depending on the ship of choice." description="The number of guests in a cabin impact the overall total of the invoice" name="how-many-people-will-be-in-your-cabin-note-this-option-may-vary-depending-on-the-ship-of-choice" className="form-control">&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
		</field>&#13;
		<field type="text" label="Guest #2 Legal Name AND Date of Birth&amp;nbsp;" description="Additional guest must fill out the secondary form" name="guest-2-legal-name-and-date-of-birth-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Guest #3 Legal Name AND Date of Birth&amp;nbsp;" description="Additional guest must fill out the secondary form" name="guest-3-legal-name-and-date-of-birth-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Guest #4 Legal Name AND Date of Birth&amp;nbsp;" description="Additional guest must fill out the secondary form" name="guest-4-legal-name-and-date-of-birth-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are there any children traveling? If so what are their ages at the time of travel?&amp;nbsp;" name="are-there-any-children-traveling-if-so-what-are-their-ages-at-the-time-of-travel-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Will anyone be pregnant on this sailing?" name="will-anyone-be-pregnant-on-this-sailing" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Does not apply" value="does-not-apply">Does not apply</option>&#13;
			<option label="Unsure" value="unsure">Unsure</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="What cabin type are you looking to book?&amp;nbsp;" name="what-cabin-type-are-you-looking-to-book-" className="form-control">&#13;
			<option label="Interior " value="interior-">Interior </option>&#13;
			<option label="Ocean View " value="ocean-view-">Ocean View </option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite " value="suite-">Suite </option>&#13;
			<option label="Another cabin type not listed " value="another-cabin-type-not-listed-">Another cabin type not listed </option>&#13;
			<option label="Doesn't matter as long as I'm on the ship" value="doesnt-matter-as-long-as-im-on-the-ship">Doesn't matter as long as I'm on the ship</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Requested Location?&amp;nbsp;" description="Preference on cabin location on the ship" name="requested-location-" className="form-control">&#13;
			<option label="Forward (Front of the ship) " value="forward-front-of-the-ship-">Forward (Front of the ship) </option>&#13;
			<option label="Mid Ship (Middle of the ship)" value="mid-ship-middle-of-the-ship">Mid Ship (Middle of the ship)</option>&#13;
			<option label="Aft (Back of the ship)" value="aft-back-of-the-ship">Aft (Back of the ship)</option>&#13;
			<option label="Doesn't matter (As long as I'm on the ship) " value="doesnt-matter-as-long-as-im-on-the-ship-">Doesn't matter (As long as I'm on the ship) </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Dining Time Request&amp;nbsp;" description="Dining times are selected for each guest. You are not required to attend if you choose." name="dining-time-request-" className="form-control">&#13;
			<option label="Early Dining (around 6pm)" value="early-dining-around-6pm">Early Dining (around 6pm)</option>&#13;
			<option label="Late Dining (around 8pm)" value="late-dining-around-8pm">Late Dining (around 8pm)</option>&#13;
			<option label="My Time Dining (anytime between 5:30pm - 9:00 pm) " value="my-time-dining-anytime-between-530pm-900-pm-">My Time Dining (anytime between 5:30pm - 9:00 pm) </option>&#13;
			<option label="Whatever time the group picks" value="whatever-time-the-group-picks">Whatever time the group picks</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Citizenship- Please be advised there are different travel requirements for each category.&amp;nbsp;" description="This information helps me to make sure you have the information you need concerning your sailing." name="citizenship-please-be-advised-there-are-different-travel-requirements-for-each-category-" className="form-control">&#13;
			<option label="U.S Citizen " value="us-citizen-">U.S Citizen </option>&#13;
			<option label="U.S Permanent Residents " value="us-permanent-residents-">U.S Permanent Residents </option>&#13;
			<option label="Canadian Citizen " value="canadian-citizen-">Canadian Citizen </option>&#13;
			<option label="Non- U.S Citizen " value="non-us-citizen-">Non- U.S Citizen </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Do you have a passport?&amp;nbsp;" description="Passport is not required if you are doing a close loop cruise however it is always recommended." name="do-you-have-a-passport-" className="form-control">&#13;
			<option label="Yes - I have a passport " value="yes-i-have-a-passport-">Yes - I have a passport </option>&#13;
			<option label="No- I do not have a passport I plan to use my State ID &amp; Birth Certificate " value="no-i-do-not-have-a-passport-i-plan-to-use-my-state-id-birth-certificate-">No- I do not have a passport I plan to use my State ID &amp; Birth Certificate </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Does anyone require an accessible cabin?&amp;nbsp;" name="does-anyone-require-an-accessible-cabin-" className="form-control">&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Yes- hearing or vision impaired " value="yes-hearing-or-vision-impaired-">Yes- hearing or vision impaired </option>&#13;
			<option label="Yes- for limited mobility " value="yes-for-limited-mobility-">Yes- for limited mobility </option>&#13;
			<option label="Yes- fully accessible for use of wheelchair or scooter" value="yes-fully-accessible-for-use-of-wheelchair-or-scooter">Yes- fully accessible for use of wheelchair or scooter</option>&#13;
		</field>&#13;
		<field type="text" label="Does anyone require any special accommodations or have allergies? If so please list details below.&amp;nbsp;" description="This would include cpap machine  insulin, oxygen concentrator, etc." name="does-anyone-require-any-special-accommodations-or-have-allergies-if-so-please-list-details-below-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is anyone in your party celebrating anything during this cruise?&amp;nbsp;" name="is-anyone-in-your-party-celebrating-anything-during-this-cruise-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Would you like to add on the prepaid gratuities?&amp;nbsp; during sailing.&amp;nbsp;" description="I understand that If I do not prepay now they will automatically  add it to my onboard account during sailing." name="would-you-like-to-add-on-the-prepaid-gratuities-during-sailing-" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Are you adding insurance to your sailing?&amp;nbsp;" description="Insurance is highly recommended and is a great benefit." name="are-you-adding-insurance-to-your-sailing-" className="form-control">&#13;
			<option label="Yes - I want to add insurance now" value="yes-i-want-to-add-insurance-now">Yes - I want to add insurance now</option>&#13;
			<option label="No - I  do not want insurance " value="no-i-do-not-want-insurance-">No - I  do not want insurance </option>&#13;
			<option label="I am unsure - I would like to hear more. " value="i-am-unsure-i-would-like-to-hear-more-">I am unsure - I would like to hear more. </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Will you need additional assistance with your travel plans?&amp;nbsp;" description="Booking needs. Ex: Transportation to the port or pre/post hotel arrangements." name="will-you-need-additional-assistance-with-your-travel-plans-" className="form-control">&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Yes - Transportation to and from the cruise port only" value="yes-transportation-to-and-from-the-cruise-port-only">Yes - Transportation to and from the cruise port only</option>&#13;
			<option label="Yes- Transportation and Hotel Accommodations. " value="yes-transportation-and-hotel-accommodations-">Yes- Transportation and Hotel Accommodations. </option>&#13;
			<option label="I am not sure - Would like more information " value="i-am-not-sure-would-like-more-information-">I am not sure - Would like more information </option>&#13;
		</field>&#13;
		<field type="text" label="Note to Travel Agent&amp;nbsp;" description="Anything else you would like us to know? Or any questions you may have?" name="anything-else-you-would-like-us-to-know-or-any-questions-you-may-have-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Text Area" name="textarea-1747792990958" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Emergency Contact Information&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="Full Name&amp;nbsp;" name="full-name-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number&amp;nbsp;" name="phone-number-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Relationship to you" name="relationship-to-you" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Let&#39;s Make It Official!"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

By signing below, I authorize The Rebecca Gibson Travel Agency to charge the credit card provided herein.

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<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h3" label="Please provide the information below to book your cabin. PLEASE only complete this form when you are prepared to make your deposit. Additional guests sharing your cabin will need to complete the secondary form and list you as their roommate. If you have any questions about this form you can contact Rebecca at The Rebecca Gibson Travel Agency directly at RGibsonTravel@outlook.com or 513-463-6788. Once this form is received, you will receive a booking confirmation and payment authorization link within 48 hours. Thank you."/>&#13;
		<field type="text" required="true" label="How did you find out about this group cruise?&amp;nbsp;" name="how-did-you-find-out-about-this-group-cruise-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Additional Carnival Guest Form&amp;nbsp;"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Date of Birth&amp;nbsp;" description="MM/DD/YYYYY" name="date-of-birth-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Gender&amp;nbsp;" name="gender-" className="form-control">&#13;
			<option label="F" value="f">F</option>&#13;
			<option label="M" value="m">M</option>&#13;
			<option label="X " value="x-">X </option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your airport code?&amp;nbsp;" description="Example: CVG- Cincinnati/KY Airport" name="what-is-your-airport-code-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Have you cruised with Carnival Cruise line before?&amp;nbsp;" name="have-you-cruised-with-carnival-cruise-line-before-" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" description="If you have a VIFP number please add it here." name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="text" required="true" label="What state are you are resident of?&amp;nbsp;" description="Discounts are often associated with state of residence." name="what-state-are-you-are-resident-of-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="How many people will be in your cabin? NOTE: This option may vary depending on the ship of choice." description="The number of guests in a cabin impact the overall total of the invoice" name="how-many-people-will-be-in-your-cabin-note-this-option-may-vary-depending-on-the-ship-of-choice" className="form-control">&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is the primary guests full name and date of birth" description="The main person booking your cabin" name="guest-2-legal-name-and-date-of-birth-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are there any children traveling? If so what are their ages at the time of travel?&amp;nbsp;" name="are-there-any-children-traveling-if-so-what-are-their-ages-at-the-time-of-travel-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Does anyone require any special accommodations or have allergies? If so please list details below.&amp;nbsp;" description="This would include cpap machine  insulin  oxygen concentrator, scooter etc." name="does-anyone-require-any-special-accommodations-or-have-allergies-if-so-please-list-details-below-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Will anyone be pregnant on this sailing?" name="will-anyone-be-pregnant-on-this-sailing" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Does not apply" value="does-not-apply">Does not apply</option>&#13;
			<option label="Unsure" value="unsure">Unsure</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Are you over the age of 55?" name="select-1749033637923" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Documentation&amp;nbsp;"/>&#13;
		<field type="select" required="true" label="Citizenship- Please be advised there are different travel requirements for each category.&amp;nbsp;" description="This information helps me to make sure you have the information you need concerning your sailing." name="citizenship-please-be-advised-there-are-different-travel-requirements-for-each-category-" className="form-control">&#13;
			<option label="U.S Citizen " value="us-citizen-">U.S Citizen </option>&#13;
			<option label="U.S Permanent Residents " value="us-permanent-residents-">U.S Permanent Residents </option>&#13;
			<option label="Canadian Citizen " value="canadian-citizen-">Canadian Citizen </option>&#13;
			<option label="Non- U.S Citizen " value="non-us-citizen-">Non- U.S Citizen </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Do you have a passport or will you be using your birth certificate?" description="This information helps me to make sure you have the information you need concerning your sailing." name="select-1749034575572" className="form-control">&#13;
			<option label="I have a passport I will be using for travel" value="i-have-a-passport-i-will-be-using-for-travel">I have a passport I will be using for travel</option>&#13;
			<option label="I do not have a passport but will be applying for one for this cruise" value="i-do-not-have-a-passport-but-will-be-applying-for-one-for-this-cruise">I do not have a passport but will be applying for one for this cruise</option>&#13;
			<option label="I will be using my birth certificate and state ID" value="i-will-be-using-my-birth-certificate-and-state-id">I will be using my birth certificate and state ID</option>&#13;
		</field>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="radio-group" label="Sex" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
		</field>&#13;
		<field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is anyone in your party celebrating anything during this cruise?&amp;nbsp;" name="is-anyone-in-your-party-celebrating-anything-during-this-cruise-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Extras &amp;amp; Interest&amp;nbsp;" name="extras-interest-">&#13;
			<option label="Travel Insurance (highly recommended" value="travel-insurance-highly-recommended">Travel Insurance (highly recommended</option>&#13;
			<option label="Drink Package " value="drink-package-">Drink Package </option>&#13;
			<option label="Wi-Fi Package " value="wifi-package-">Wi-Fi Package </option>&#13;
			<option label="Shore Excursions" value="shore-excursions">Shore Excursions</option>&#13;
			<option label="Speciality Dining " value="speciality-dining-">Speciality Dining </option>&#13;
			<option label="Pre-Cruise Hotel Stay " value="precruise-hotel-stay-">Pre-Cruise Hotel Stay </option>&#13;
			<option label="Post-Cruise Hotel Stay " value="postcruise-hotel-stay-">Post-Cruise Hotel Stay </option>&#13;
			<option label="Transportation to/from the Cruise Port " value="transportation-tofrom-the-cruise-port-">Transportation to/from the Cruise Port </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Are you adding insurance to your sailing?&amp;nbsp;" description="Insurance is highly recommended and is a great benefit." name="are-you-adding-insurance-to-your-sailing-" className="form-control">&#13;
			<option label="Yes - I want to add insurance now" value="yes-i-want-to-add-insurance-now">Yes - I want to add insurance now</option>&#13;
			<option label="No - I  do not want insurance " value="no-i-do-not-want-insurance-">No - I  do not want insurance </option>&#13;
			<option label="I am unsure - I would like to hear more. " value="i-am-unsure-i-would-like-to-hear-more-">I am unsure - I would like to hear more. </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Would you like to add on the prepaid gratuities?&amp;nbsp; during sailing.&amp;nbsp;" description="I understand that If I do not prepay now they will automatically  add it to my onboard account during sailing." name="would-you-like-to-add-on-the-prepaid-gratuities-during-sailing-" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Will you need additional assistance with your travel plans?&amp;nbsp;" description="Booking needs. Ex: Transportation to the port or pre/post hotel arrangements." name="will-you-need-additional-assistance-with-your-travel-plans-" className="form-control">&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Yes - Transportation to and from the cruise port only" value="yes-transportation-to-and-from-the-cruise-port-only">Yes - Transportation to and from the cruise port only</option>&#13;
			<option label="Yes- Transportation and Hotel Accommodations. " value="yes-transportation-and-hotel-accommodations-">Yes- Transportation and Hotel Accommodations. </option>&#13;
			<option label="I am not sure - Would like more information " value="i-am-not-sure-would-like-more-information-">I am not sure - Would like more information </option>&#13;
		</field>&#13;
		<field type="textarea" label="Additional Guest: Any Medical or Mobility Issues?&amp;nbsp;" description="Do you require anything that is important to having a great cruise experience." name="additional-guest-any-medical-or-mobility-issues-" className="form-control"/>&#13;
		<field type="text" label="Note to Travel Agent&amp;nbsp;" description="Anything else you would like us to know? Or any questions you may have?" name="anything-else-you-would-like-us-to-know-or-any-questions-you-may-have-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Text Area" name="textarea-1747792990958" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Emergency Contact Information&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="Full Name&amp;nbsp;" name="full-name-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number&amp;nbsp;" name="phone-number-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Relationship to you" name="relationship-to-you" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Let&#39;s Make It Official!"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h3" label="Please provide the information below to book your cabin. PLEASE only complete this form when you are prepared to make your deposit. Additional guests sharing your cabin will need to complete the secondary form and list you as their roommate. If you have any questions about this form you can contact Rebecca at The Rebecca Gibson Travel Agency directly at RGibsonTravel@outlook.com or 513-463-6788. Once this form is received, you will receive a booking confirmation and payment authorization link within 48 hours. Thank you."/>&#13;
		<field type="text" required="true" label="How did you find out about this group cruise?&amp;nbsp;" name="how-did-you-find-out-about-this-group-cruise-" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Additional Carnival Guest Form&amp;nbsp;"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Date of Birth&amp;nbsp;" description="MM/DD/YYYYY" name="date-of-birth-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Gender&amp;nbsp;" name="gender-" className="form-control">&#13;
			<option label="F" value="f">F</option>&#13;
			<option label="M" value="m">M</option>&#13;
			<option label="X " value="x-">X </option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your airport code?&amp;nbsp;" description="Example: CVG- Cincinnati/KY Airport" name="what-is-your-airport-code-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Have you cruised with Carnival Cruise line before?&amp;nbsp;" name="have-you-cruised-with-carnival-cruise-line-before-" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" description="If you have a VIFP number please add it here." name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="text" required="true" label="What state are you are resident of?&amp;nbsp;" description="Discounts are often associated with state of residence." name="what-state-are-you-are-resident-of-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="How many people will be in your cabin? NOTE: This option may vary depending on the ship of choice." description="The number of guests in a cabin impact the overall total of the invoice" name="how-many-people-will-be-in-your-cabin-note-this-option-may-vary-depending-on-the-ship-of-choice" className="form-control">&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is the primary guests full name and date of birth" description="The main person booking your cabin" name="guest-2-legal-name-and-date-of-birth-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are there any children traveling? If so what are their ages at the time of travel?&amp;nbsp;" name="are-there-any-children-traveling-if-so-what-are-their-ages-at-the-time-of-travel-" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Does anyone require any special accommodations or have allergies? If so please list details below.&amp;nbsp;" description="This would include cpap machine  insulin  oxygen concentrator, scooter etc." name="does-anyone-require-any-special-accommodations-or-have-allergies-if-so-please-list-details-below-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Will anyone be pregnant on this sailing?" name="will-anyone-be-pregnant-on-this-sailing" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Does not apply" value="does-not-apply">Does not apply</option>&#13;
			<option label="Unsure" value="unsure">Unsure</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Are you over the age of 55?" name="select-1749033637923" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Documentation&amp;nbsp;"/>&#13;
		<field type="select" required="true" label="Citizenship- Please be advised there are different travel requirements for each category.&amp;nbsp;" description="This information helps me to make sure you have the information you need concerning your sailing." name="citizenship-please-be-advised-there-are-different-travel-requirements-for-each-category-" className="form-control">&#13;
			<option label="U.S Citizen " value="us-citizen-">U.S Citizen </option>&#13;
			<option label="U.S Permanent Residents " value="us-permanent-residents-">U.S Permanent Residents </option>&#13;
			<option label="Canadian Citizen " value="canadian-citizen-">Canadian Citizen </option>&#13;
			<option label="Non- U.S Citizen " value="non-us-citizen-">Non- U.S Citizen </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Do you have a passport or will you be using your birth certificate?" description="This information helps me to make sure you have the information you need concerning your sailing." name="select-1749034575572" className="form-control">&#13;
			<option label="I have a passport I will be using for travel" value="i-have-a-passport-i-will-be-using-for-travel">I have a passport I will be using for travel</option>&#13;
			<option label="I do not have a passport but will be applying for one for this cruise" value="i-do-not-have-a-passport-but-will-be-applying-for-one-for-this-cruise">I do not have a passport but will be applying for one for this cruise</option>&#13;
			<option label="I will be using my birth certificate and state ID" value="i-will-be-using-my-birth-certificate-and-state-id">I will be using my birth certificate and state ID</option>&#13;
		</field>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="radio-group" label="Sex" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
		</field>&#13;
		<field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is anyone in your party celebrating anything during this cruise?&amp;nbsp;" name="is-anyone-in-your-party-celebrating-anything-during-this-cruise-" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Extras &amp;amp; Interest&amp;nbsp;" name="extras-interest-">&#13;
			<option label="Travel Insurance (highly recommended" value="travel-insurance-highly-recommended">Travel Insurance (highly recommended</option>&#13;
			<option label="Drink Package " value="drink-package-">Drink Package </option>&#13;
			<option label="Wi-Fi Package " value="wifi-package-">Wi-Fi Package </option>&#13;
			<option label="Shore Excursions" value="shore-excursions">Shore Excursions</option>&#13;
			<option label="Speciality Dining " value="speciality-dining-">Speciality Dining </option>&#13;
			<option label="Pre-Cruise Hotel Stay " value="precruise-hotel-stay-">Pre-Cruise Hotel Stay </option>&#13;
			<option label="Post-Cruise Hotel Stay " value="postcruise-hotel-stay-">Post-Cruise Hotel Stay </option>&#13;
			<option label="Transportation to/from the Cruise Port " value="transportation-tofrom-the-cruise-port-">Transportation to/from the Cruise Port </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Are you adding insurance to your sailing?&amp;nbsp;" description="Insurance is highly recommended and is a great benefit." name="are-you-adding-insurance-to-your-sailing-" className="form-control">&#13;
			<option label="Yes - I want to add insurance now" value="yes-i-want-to-add-insurance-now">Yes - I want to add insurance now</option>&#13;
			<option label="No - I  do not want insurance " value="no-i-do-not-want-insurance-">No - I  do not want insurance </option>&#13;
			<option label="I am unsure - I would like to hear more. " value="i-am-unsure-i-would-like-to-hear-more-">I am unsure - I would like to hear more. </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Would you like to add on the prepaid gratuities?&amp;nbsp; during sailing.&amp;nbsp;" description="I understand that If I do not prepay now they will automatically  add it to my onboard account during sailing." name="would-you-like-to-add-on-the-prepaid-gratuities-during-sailing-" className="form-control">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Will you need additional assistance with your travel plans?&amp;nbsp;" description="Booking needs. Ex: Transportation to the port or pre/post hotel arrangements." name="will-you-need-additional-assistance-with-your-travel-plans-" className="form-control">&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Yes - Transportation to and from the cruise port only" value="yes-transportation-to-and-from-the-cruise-port-only">Yes - Transportation to and from the cruise port only</option>&#13;
			<option label="Yes- Transportation and Hotel Accommodations. " value="yes-transportation-and-hotel-accommodations-">Yes- Transportation and Hotel Accommodations. </option>&#13;
			<option label="I am not sure - Would like more information " value="i-am-not-sure-would-like-more-information-">I am not sure - Would like more information </option>&#13;
		</field>&#13;
		<field type="textarea" label="Additional Guest: Any Medical or Mobility Issues?&amp;nbsp;" description="Do you require anything that is important to having a great cruise experience." name="additional-guest-any-medical-or-mobility-issues-" className="form-control"/>&#13;
		<field type="text" label="Note to Travel Agent&amp;nbsp;" description="Anything else you would like us to know? Or any questions you may have?" name="anything-else-you-would-like-us-to-know-or-any-questions-you-may-have-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Text Area" name="textarea-1747792990958" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Emergency Contact Information&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="Full Name&amp;nbsp;" name="full-name-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number&amp;nbsp;" name="phone-number-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Relationship to you" name="relationship-to-you" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Let&#39;s Make It Official!"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

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