TravelJoy

France 2024

Jun 17, 2024 to Jun 27, 2024

Paris, France

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Salutation" 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="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 type="header" subtype="h1" label="Additional Information"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of Birth" name="birthday" className="form-control"/>&#13;
		<field type="radio-group" label="Gender" name="gender">&#13;
			<option label="Male" value="male">Male</option>&#13;
			<option label="Female" value="female">Female</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="In which trip are you interested?" name="in-which-trip-are-you-interested" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Enter Roommate&#39;s First and Last Name" description="Enter NONE if you are traveling as a single." name="enter-roommates-first-and-last-name" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Select Your Room Type" name="cabin-type" className="form-control">&#13;
			<option label="Select one" value="select-one">Select one</option>&#13;
			<option label="King Bed" value="king-bed">King Bed</option>&#13;
			<option label="2 Beds" value="2-beds">2 Beds</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="THIS TRIP REQUIRES IDENTIFICATION IN THE FORM OF AN ORIGINAL BIRTH CERTIFICATE (OFFICIAL FROM STATE GOVERNMENT) and PHOTO IDENTIFICATION (e.g., DRIVER&#39;S LICENSE) OR A PASSPORT WITH AN EXPIRATION DATE OF AT LEAST 6 MONTHS FROM THE END OF YOUR TRIP. Please check which form(s) of identification you have. Select all that apply." name="this-trip-requires-identification-in-the-form-of-an-original-birth-certificate-official-from-state-government-and-photo-identification-eg-drivers-license-or-a-passport-with-an-expiration-date-of-at-least-6-months-from-the-end-of-your-trip-please-check-which-forms-of-identification-you-have-select-all-that-apply" other="true">&#13;
			<option label="Passport" value="passport">Passport</option>&#13;
			<option label="Official Long Form Birth Certificate" value="official-long-form-birth-certificate">Official Long Form Birth Certificate</option>&#13;
			<option label="My passport is lost and I will need to reapply." value="my-passport-is-lost-and-i-will-need-to-reapply">My passport is lost and I will need to reapply.</option>&#13;
			<option label="I will need to apply for an official birth certificate." value="i-will-need-to-apply-for-an-official-birth-certificate">I will need to apply for an official birth certificate.</option>&#13;
			<option label="Driver's License" value="drivers-license">Driver's License</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Travel Insurance"/>&#13;
		<field type="paragraph" subtype="p" label="By signing below, I understand that declining travel insurance could result in the loss of my travel cost and/or require more money to correct the situation. I also acknowledge that without insurance, there may be no way to recoup any losses, costs or expenses incurred."/>&#13;
		<field type="header" subtype="h1" label="  "/>&#13;
		<field type="radio-group" label="Please choose:" name="please-choose">&#13;
			<option label="I am interested in more information travel insurance." value="i-am-interested-in-more-information-travel-insurance">I am interested in more information travel insurance.</option>&#13;
			<option label="I DECLINE Travel Insurance. I understand that this could result in the loss of ALL of my travel costs." value="decline">I DECLINE Travel Insurance. I understand that this could result in the loss of ALL of my travel costs.</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Air Travel"/>&#13;
		<field type="checkbox-group" label="Please select from which airports you are willing to depart." name="please-select-from-which-airports-you-are-willing-to-depart" other="true">&#13;
			<option label="Atlanta (ATL)" value="atlanta-atl">Atlanta (ATL)</option>&#13;
			<option label="Charlotte (CLT" value="charlotte-clt">Charlotte (CLT</option>&#13;
			<option label="Columbia (CAE)" value="columbia-cae">Columbia (CAE)</option>&#13;
			<option label="New York (JFK, LGA)" value="new-york-jfk-lga">New York (JFK, LGA)</option>&#13;
			<option label="Newark (EWR)" value="newark-ewr">Newark (EWR)</option>&#13;
			<option label="Washington, DC (DCA, IAD)" value="washington-dc-dca-iad">Washington, DC (DCA, IAD)</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" description="Please your Frequent Traveler numbers (airlines  cruises, etc.) if applicable 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="header" subtype="h1" label="Emergency Contact"/>&#13;
		<field type="text" required="true" label="Emergency Contact&#39;s Name" name="emergency-contacts-name" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Relationship to Passenger" name="relationship-to-passenger">&#13;
			<option label="Select One" value="select-one">Select One</option>&#13;
			<option label="Spouse" value="spouse">Spouse</option>&#13;
			<option label="Parent" value="parent">Parent</option>&#13;
			<option label="Sibling" value="sibling">Sibling</option>&#13;
			<option label="Other Relative" value="other-relative">Other Relative</option>&#13;
			<option label="Close Friend" value="close-friend">Close Friend</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Emergency Contact&#39;s Phone Number" name="emergency-contacts-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Medical Conditions/Restrictions"/>&#13;
		<field type="text" label="List any medical conditions/allergies." name="list-any-medical-conditionsallergies" subtype="text" className="form-control"/>&#13;
		<field type="text" label="List any dietary restrictions." name="list-any-dietary-restrictions" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Please enter any additional comments or requests (such as meal restrictions, allergies, ADA, etc.)" name="please-enter-any-additional-comments-or-requests-such-as-meal-restrictions-allergies-ada-etc" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>