TravelJoy

Terri Moore

Far Moore Travel

2025- Cruise Grown Folks Dominican Daze Cruise

Nov 7, 2025 to Nov 12, 2025

Dominican Republic

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Complete one form per adult when you are ready to pay your deposit. Once form is received, you will receive an invoice for payment of your deposit. Reservation will not be confirmed until all passengers sharing a cabin submit a form and authorize payment of deposit. Rates and availability are not guaranteed until booked"/>&#13;
		<field type="radio-group" required="true" label="Cabin Occupancy:" name="cabin-occupancy">&#13;
			<option label="Single Occupancy (1 person in the cabin)" value="single-occupancy-1-person-in-the-cabin">Single Occupancy (1 person in the cabin)</option>&#13;
			<option label="Double Occupancy (2 people in the cabin)" value="double-occupancy-2-people-in-the-cabin">Double Occupancy (2 people in the cabin)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Cabin Type/Rate- based on Double Occupancy. Rates for Single occupancy or other Cabin Types will be provided upon request. A higher deposit may be required" name="cabin-type" other="true">&#13;
			<option label="Sea Terrace Central- $1,255 per person" value="sea-terrace-central-1255-per-person">Sea Terrace Central- $1,255 per person</option>&#13;
			<option label="Sea Terrace- $1,235 per person" value="sea-terrace-1235-per-person">Sea Terrace- $1,235 per person</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Roommate's Name (enter N/A if Single Occupancy.&amp;nbsp;" name="roommates-name-enter-na-if-single-occupancy" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Invoice Type" name="invoice-type">&#13;
			<option label="Separate Invoices" value="separate-invoices">Separate Invoices</option>&#13;
			<option label="One Invoice for all Passengers in the Cabin" value="one-invoice-for-all-passengers-in-the-cabin">One Invoice for all Passengers in the Cabin</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Passenger Information"/>&#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="radio-group" required="true" label="Gender" name="gender">&#13;
			<option label="Male" value="male">Male</option>&#13;
			<option label="Female" value="female">Female</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Home Phone" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Emergency Contact Name" name="emergency-contact-name" subtype="text" className="form-control"/>&#13;
		<field type="text" subtype="tel" required="true" label="Emergency Contact #" description="Emergency Contact Number" name="emergency-contact-" className="form-control"/>&#13;
		<field type="checkbox-group" label="Current or Retired Military?&amp;nbsp; " inline="true" name="current-or-retired-military-passengers">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Cruised Virgin Voyages Before?" inline="true" name="cruised-royal-caribbean-before">&#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" 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="header" subtype="h3" label="Optional Add-ons:"/>&#13;
		<field type="checkbox-group" required="true" label="Vacation Protection: Rate based on destination, tri cost, and traveler's age" description="Required for all passengers in the cabin" name="vacation-protection-starting-at-49-per-person-passengers">&#13;
			<option label="Accepted (provide quote)" value="accepted-provide-quote">Accepted (provide quote)</option>&#13;
			<option label="Declined" value="declined">Declined</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>