TravelJoy

TTne Johnson

The Lux Concierge

The Johnson Jump Off: Ultimate Homecoming (Overflow)

Oct 8, 2026 to Oct 15, 2026

Zanzibar, Tanzania

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="The Johnson Jumpoff Waitlist"/>&#13;
		<field type="text" required="true" label="First name" placeholder="As it appears on your passport" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" placeholder="As it appears on your passport" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" placeholder="As it appears on your passport" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Gender" inline="true" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="T-Shirt Size" name="tshirt-size" className="form-control">&#13;
			<option label="Small" value="small">Small</option>&#13;
			<option label="Medium" value="medium">Medium</option>&#13;
			<option label="Large" value="large">Large</option>&#13;
			<option label="X-Large" value="xlarge">X-Large</option>&#13;
			<option label="2X" value="2x">2X</option>&#13;
			<option label="3X" value="3x">3X</option>&#13;
		</field>&#13;
		<field type="text" label="Dietary Restrictions" description="Vegan  Allergies  No Alcohol  etc." name="dietary-restrictions" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Special Request&amp;nbsp;" description="I.e. Handicap accessible room  early check-in" name="special-request" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Info"/>&#13;
		<field type="text" required="true" label="Passport number" description="If you are still working on obtaining a passport  please put &quot;N/A&quot;" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="text" required="true" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Interested in Flights?"/>&#13;
		<field type="paragraph" subtype="p" label="We’re currently working on securing a group flight departing from Atlanta (ATL) to Zanzibar so that our crew can travel together with ease and excitement from the very beginning. If you&#39;re interested in joining the group flight block, be sure to indicate here. Flight pricing will be available in November."/>&#13;
		<field type="radio-group" required="true" label="Would you like to receive a quote for flights?" description="Group flight perks may include a locked-in rate (no last-minute price jumps)  a flexible payment plan  and roundtrip airfare that aligns perfectly with our itinerary. You&#39;ll also benefit from coordinated airport transfers  early access to flight details  and the ease of checking in with your Lux crew." inline="true" name="does-each-traveler-require-seperate-payment-links">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Departing Airport&amp;nbsp;" description="List All That Apply. LAX is currently the best rate." placeholder="(i.e. ATL  LAX  JFK  MIA  or &quot;Any&quot; if willing to travel for best rate)" name="departing-airport" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Referral Rewards Program&amp;nbsp;"/>&#13;
		<field type="text" label="Referred By or Traveling With:" description="Please specify the name of the person who referred you to us or the name of the person you are traveling with." name="referred-by-or-traveling-with" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Room Preferences"/>&#13;
		<field type="radio-group" required="true" label="Preferred Room Type" name="preferred-room-type">&#13;
			<option label="King Bed" value="king-bed">King Bed</option>&#13;
			<option label="Double Beds" value="double-beds">Double Beds</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Preferred Level of Luxury" name="preferred-level-of-luxury">&#13;
			<option label="Affordable (i.e. Garden View)" value="affordable-ie-garden-view">Affordable (i.e. Garden View)</option>&#13;
			<option label="Moderate (i.e Ocean View" value="moderate-ie-ocean-view">Moderate (i.e Ocean View</option>&#13;
			<option label="Luxury (i.e. Villa)" value="luxury-ie-villa">Luxury (i.e. Villa)</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>