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Alaysia Williams
Fly Getaways
Quan's Bday Bash
Sep 29, 2023 to Oct 4, 2023
Hyatt Zilara Rose Hall - Montego Bay, Jamaica
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Fly Getaways is not liable if the information below is not entered correctly. "/> <field type="paragraph" subtype="p" label="&nbsp;"/> <field type="select" required="true" label="Number of guests in room:" name="number-of-guests-in-room" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> </field> <field type="header" subtype="h2" label="Primary Guest"/> <field type="paragraph" subtype="p" label="The Primary Guest is the person who will be making the payments. Additional guests will be added below."/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="radio-group" required="true" label="Gender" name="gender" other="true"> <option label="Female" value="female">Female</option> <option label="Male" value="male">Male</option> </field> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Street Address" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Address Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Emergency Contact"/> <field type="text" label="Emergency Contact Name" placeholder="First Last" name="emergency-contact-name" subtype="text" className="form-control"/> <field type="text" label="Emergency Contact Number" placeholder="###-###-####" name="emergency-contact-number" subtype="text" className="form-control"/> <field type="text" label="Emergency Contact Relationship" name="emergency-contact-relationship" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Additional Guests"/> <field type="paragraph" subtype="p" label="Important: If you are adding additional guests, please fill out ALL information requested below. This information is required in order to complete the reservation. If any section is not completed, it will delay booking the reservation until the information has been collected. Thank you in advance for understanding."/> <field type="header" subtype="h1" label="Guest 2"/> <field type="text" label="Guest 2: Full Name (Exactly as it appears on passport)" name="guest-2-full-name-exactly-as-it-appears-on-passport" subtype="text" className="form-control"/> <field type="select" label="Guest 2: Relationship to Primary Traveler" name="guest-2-relationship-to-primary-traveler" className="form-control"> <option label="Spouse" value="spouse">Spouse</option> <option label="Child" value="child">Child</option> <option label="Parent" value="parent">Parent</option> <option label="Sibling" value="sibling">Sibling</option> <option label="Friend" value="friend">Friend</option> <option label="Relative" value="relative">Relative</option> <option label="Partner" value="partner">Partner</option> <option label="Domestic Partner" value="domestic-partner">Domestic Partner</option> <option label="Colleague" value="colleague">Colleague</option> <option label="Business partner" value="business-partner">Business partner</option> </field> <field type="date" label="Guest 2: Date of Birth" name="guest-2-date-of-birth" className="form-control"/> <field type="text" label="Guest 2: Email" name="guest-2-email" subtype="text" className="form-control"/> <field type="text" label="Guest 2: Phone Number" name="guest-2-phone-number" subtype="text" className="form-control"/> <field type="radio-group" label="Guest 2: Gender" name="guest-2-gender" other="true"> <option label="Female" value="female">Female</option> <option label="Male" value="male">Male</option> </field> <field type="header" subtype="h1" label="Guest 3"/> <field type="text" label="Guest 3: Full Name (Exactly as it appears on passport)" name="guest-3-full-name-exactly-as-it-appears-on-passport" subtype="text" className="form-control"/> <field type="select" label="Guest 3: Relationship to Primary Traveler" name="guest-3-relationship-to-primary-traveler" className="form-control"> <option label="Spouse" value="spouse">Spouse</option> <option label="Child" value="child">Child</option> <option label="Parent" value="parent">Parent</option> <option label="Sibling" value="sibling">Sibling</option> <option label="Friend" value="friend">Friend</option> <option label="Relative" value="relative">Relative</option> <option label="Partner" value="partner">Partner</option> <option label="Domestic Partner" value="domestic-partner">Domestic Partner</option> <option label="Colleague" value="colleague">Colleague</option> <option label="Business partner" value="business-partner">Business partner</option> </field> <field type="date" label="Guest 3: Date of Birth" name="guest-3-date-of-birth" className="form-control"/> <field type="text" label="Guest 3: Email" name="guest-3-email" subtype="text" className="form-control"/> <field type="text" label="Guest 3: Phone Number" name="guest-3-phone-number" subtype="text" className="form-control"/> <field type="radio-group" label="Guest 3: Gender" name="guest-3-gender" other="true"> <option label="Female" value="female">Female</option> <option label="Male" value="male">Male</option> </field> <field type="header" subtype="h1" label="Guest 4"/> <field type="text" label="Guest 4: Full Name (Exactly as it appears on passport)" name="guest-4-full-name-exactly-as-it-appears-on-passport" subtype="text" className="form-control"/> <field type="select" label="Guest 4: Relationship to Primary Traveler" name="guest-4-relationship-to-primary-traveler" className="form-control"> <option label="Spouse" value="spouse">Spouse</option> <option label="Child" value="child">Child</option> <option label="Parent" value="parent">Parent</option> <option label="Sibling" value="sibling">Sibling</option> <option label="Friend" value="friend">Friend</option> <option label="Relative" value="relative">Relative</option> <option label="Partner" value="partner">Partner</option> <option label="Domestic Partner" value="domestic-partner">Domestic Partner</option> <option label="Colleague" value="colleague">Colleague</option> <option label="Business partner" value="business-partner">Business partner</option> </field> <field type="date" label="Guest 4: Date of Birth" name="guest-4-date-of-birth" className="form-control"/> <field type="text" label="Guest 4: Email" name="guest-4-email" subtype="text" className="form-control"/> <field type="text" label="Guest 4: Phone Number" name="guest-4-phone-number" subtype="text" className="form-control"/> <field type="radio-group" label="Guest 4: Gender" name="guest-4-gender" other="true"> <option label="Female" value="female">Female</option> <option label="Male" value="male">Male</option> </field> <field type="header" subtype="h1" label="Trip Information"/> <field type="select" required="true" label="Room Type" name="room-type" className="form-control"> <option label="Junior Suite Courtyard View (Queen Bed)" value="junior-suite-courtyard-view-queen-bed">Junior Suite Courtyard View (Queen Bed)</option> <option label="Junior Suite (King Bed)" value="junior-suite-king-bed" selected="selected">Junior Suite (King Bed)</option> <option label="Suite (King Bed)" value="suite-king-bed">Suite (King Bed)</option> <option label="Superior Ocean Suite (King Bed)" value="superior-ocean-suite-king-bed">Superior Ocean Suite (King Bed)</option> <option label="Suite Jacuzzi (King Bed)" value="suite-jacuzzi-king-bed">Suite Jacuzzi (King Bed)</option> <option label="Beach Villa (King Bed)" value="beach-villa-king-bed">Beach Villa (King Bed)</option> <option label="Villa (King Bed)" value="villa-king-bed">Villa (King Bed)</option> </field> <field type="date" required="true" label="Arrival Date" name="arrival-date" className="form-control"/> <field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/> <field type="select" required="true" label="Booking Type" name="booking-type" className="form-control"> <option label="Hotel only" value="hotel-only">Hotel only</option> <option label="Air and hotel" value="air-and-hotel">Air and hotel</option> </field> <field type="text" label="Departure Airport (If Requesting Air)" placeholder="Enter airport name and code" name="departure-airport-if-requesting-air" subtype="text" className="form-control"/> <field type="text" label="Comments" placeholder="Use this box to add any additional information you want us to know." name="comments" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Insurance"/> <field type="paragraph" subtype="p" label="The purchase of travel insurance is strongly advised for your trip. Depending on the option you choose, it may cover trip cancellation and many other scenarios such as unexpected medical expenses, baggage and flight delays. By selecting and signing below, I acknowledge that I have been provided information and given the opportunity to purchase Travel Protection and understand that declining travel protection could result in the loss of my travel cost and/or require more money to correct the situation. I also acknowledge that without the protection, there may be no way to recoup any losses, costs or expenses incurred. Fly Getaways is not a licensed Insurance Agency and therefore cannot answer questions regarding any travel insurance policies. The option to add travel insurance is solely for your convenience. If you have purchased travel insurance, please review your policy carefully for coverage."/> <field type="checkbox-group" required="true" label="Check box below to acknowledge." name="checkbox-group-1665881528009"> <option label="I acknowledge that I have been advised about purchasing travel insurance." value="i-acknowledge-that-i-have-been-advised-about-purchasing-travel-insurance">I acknowledge that I have been advised about purchasing travel insurance.</option> </field> <field type="select" required="true" label="Select Travel Insurance" name="select-travel-insurance" className="form-control"> <option label="Travel Protection Plus: Full Travel Credit" value="travel-protection-plus-full-travel-credit">Travel Protection Plus: Full Travel Credit</option> <option label="Travel Protection Plus: Cash Refund" value="travel-protection-plus-cash-refund">Travel Protection Plus: Cash Refund</option> <option label="I decline travel insurance and assume all risks that may be incurred by doing so." value="i-decline-travel-insurance-and-assume-all-risks-that-may-be-incurred-by-doing-so">I decline travel insurance and assume all risks that may be incurred by doing so.</option> </field> <field type="header" subtype="h1" label="Passport Required"/> <field type="paragraph" subtype="p" label="I understand that everyone (including children) staying within my reservation and attending this event must have a valid Passport to enter the country. Also, I acknowledge that everyone staying within my reservation currently has a Passport that is valid for at least 6 months after the return date of my reservation or will obtain one before departure."/> <field type="checkbox-group" required="true" label="Check box below to acknowledge." name="check-box-below-to-acknowledge"> <option label="I understand that every attendee needs a passport to enter the country." value="i-understand-that-every-attendee-needs-a-passport-to-enter-the-country">I understand that every attendee needs a passport to enter the country.</option> </field> <field type="header" subtype="h1" label="Visa Required"/> <field type="paragraph" subtype="p" label="U.S. Passport holders require a visa for Tanzania. Please apply online in advance of your trip at https://visa.immigration.go.tz/"/> <field type="checkbox-group" required="true" label="Check box below to acknowledge visa requirement." name="checkbox-group-1728768978394"> <option label="I understand that U.S. passport holders need a visa to enter Tanzania." value="i-understand-that-us-passport-holders-need-a-visa-to-enter-tanzania">I understand that U.S. passport holders need a visa to enter Tanzania.</option> </field> <field type="header" subtype="h1" label="Zanzibar Travel Insurance"/> <field type="paragraph" subtype="p" label="As of October 1, 2024, those traveling to Zanzibar are required to purchase the Inbound Travel Insurance for $44 USD per individual. The insurance can be purchased as soon as your trip is booked. For more information and to purchase your insurance please visit https://visitzanzibar.go.tz/&nbsp;"/> <field type="checkbox-group" required="true" label="Check the box below to acknowledge." name="checkbox-group-1728769055052"> <option label="I understand that Zanzibar requires mandatory Inbound Travel Insurance." value="i-understand-that-zanzibar-requires-mandatory-inbound-travel-insurance">I understand that Zanzibar requires mandatory Inbound Travel Insurance.</option> </field> <field type="header" subtype="h1" label="Zanzibar Infrastructure Tax"/> <field type="checkbox-group" required="true" label="Check the box below to acknowledge the Zanzibar Infrastructure Tax policy." name="checkbox-group-1728769951157"> <option label="I understand that Mandatory Infrastructure Tax, $5 per person per night, will be collected by the hotel at check-in or check-out." value="i-understand-that-mandatory-infrastructure-tax-5-per-person-per-night-will-be-collected-by-the-hotel-at-checkin-or-checkout">I understand that Mandatory Infrastructure Tax, $5 per person per night, will be collected by the hotel at check-in or check-out.</option> </field> <field type="header" subtype="h1" label="Coronavirus COVID-19 Assumption of Risk, Waiver of Liability &amp; Indemnity Disclosure"/> <field type="paragraph" subtype="p" label="The 2019 Novel Coronavirus* (“COVID-19” “Coronavirus” “Pandemic”) is a pandemic that affects travel worldwide. In consideration of the travel opportunity presented to you by Fly Getaways and afforded to you by the Vendors considered, the Client and travelers in Clients party, Client, by applying payment on travel considered herein, acknowledges and agrees to the following: The 2019 Novel Coronavirus* (“COVID-19” “Coronavirus” “Pandemic”) is a known pandemic that is affecting travel worldwide. Client is fully aware of the current global Coronavirus COVID-19 virus outbreak, the current travel restrictions, and inherent risks involved if choosing to travel. Client understands that it is his/her responsibility to check, understand, and comply with the latest travel information regarding this virus outbreak with the CDC https://wwwnc.cdc.gov/travel/notices, domestic governing bodies https://travel.state.gov, destination governing bodies, and all vendors associated with Clients travel. Client is aware that it is his/her personal decision to travel and is doing so with full knowledge of current travel recommendations, restrictions, and requirements with regards to the Coronavirus COVID-19 and takes full responsibility for his/her actions with regards to this. Client understands and confirms that Fly Getaways, after reasonable inquiry, has made available to client, by reference, referral, or other conveyance, the best available information known to Fly Getaways regarding pandemic policies provided by travel suppliers and governing bodies, including but not limited to airlines, hotels, cruises lines, tour agencies, insurance provider, transfer agencies or any other entity involved in clients booking. Client is aware the travel warnings, travel restrictions and rules including screening and use of masks, travel insurance restrictions, and restrictions that may impede Clients ability to enter or exit a destination as planned, related to Covid-19 and understands the risks, is accepting of these and holds Fly Getaways harmless for any travel restrictions, death, illness, cancellations by suppliers, hotels, airlines, cruise lines, tour agencies or any other travel provider, financial loss, quarantining rules or measures put in place at airports or destinations Client is traveling through. Client further agrees to hold Fly Getaways harmless for any financial penalties or fees imposed by the by suppliers, hotels, airlines, cruise lines, tour agencies or any other travel provider due to cancellations or postponements due to Covid-19 and agrees not to sue or institute a credit card dispute or “charge back” to this agency or its partners for said penalties, fees, or real or alleged damages.&nbsp;"/> <field type="checkbox-group" required="true" label="Check box below to acknowledge." name="checkbox-group-1665882372977"> <option label="I acknowledge and agree to the COVID-19 Assumption of Risk, Waiver of Liability & Indemnity Disclosure." value="i-acknowledge-and-agree-to-the-covid19-assumption-of-risk-waiver-of-liability-indemnity-disclosure">I acknowledge and agree to the COVID-19 Assumption of Risk, Waiver of Liability & Indemnity Disclosure.</option> </field> </fields> </form-template> </body> </html>
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