TravelJoy

Lynn Fenster

TLC Travel Adventures by Lynn

TLC Travel's Discovering Israeli Cuisine

May 6, 2020 to May 14, 2020

Israel

<form-template>
	<fields>
		<field type="header" subtype="h2" label="Contact Information"/>
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>
		<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="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>
		<field type="text" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Visits to Israel"/>
		<field type="header" subtype="h1" label="Room Information"/>
		<field type="radio-group" label="Type of Room" name="type-of-room">
			<option label="Single" value="single">Single</option>
			<option label="Double" value="double">Double</option>
		</field>
		<field type="text" label="Roommate's name" name="roommates-name" subtype="text" className="form-control"/>
		<field type="radio-group" label="Please assign me a roommate" name="please-assign-me-a-roommate">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="textarea" label="Special room requests" name="special-room-requests" subtype="textarea" className="form-control"/>
		<field type="header" subtype="h2" label="Passport Information"/>
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>
		<field type="date" label="Date of birth" name="birthday" className="form-control"/>
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>
		<field type="radio-group" label="Gender" name="gender">
			<option label="F" value="female">F</option>
			<option label="M" value="male">M</option>
		<option label="X" value="other">X</option>
		</field>
		<field type="header" subtype="h1" label="Travel Information"/>
		<field type="header" subtype="h3" label="Arrival Information"/>
		<field type="date" label="Date of arrival" name="date-of-arrival" className="form-control"/>
		<field type="text" label="Arrival time" name="text-1560123800263" subtype="text" className="form-control"/>
		<field type="header" subtype="h3" label="Departure Information"/>
		<field type="date" label="Date of departure" name="date-of-departure" className="form-control"/>
		<field type="text" label="Flight Number" name="text-1560124034966" subtype="text" className="form-control"/>
		<field type="text" label="Time" name="time" subtype="text" className="form-control"/>
		<field type="textarea" label="Request for pre-trip hotel reservations" name="request-for-pretrip-hotel-reservations" subtype="textarea" className="form-control"/>
		<field type="textarea" label="Request for post-trip hotel reservations" name="textarea-1560124170459" subtype="textarea" className="form-control"/>
		<field type="header" subtype="h1" label="Special Requests"/>
		<field type="radio-group" label="Kosher? (the trip is not marked Kosher)" name="kosher-the-trip-is-not-marked-kosher">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="textarea" label="Specific food allergies (allergen and nature of allergy)" name="specific-food-allergies-allergen-and-nature-of-allergy" subtype="textarea" className="form-control"/>
	</fields>
</form-template>