TravelJoy

Kay Junior

Divine Travel Services, LLC.

INpower Women's Retreat

May 1, 2019 to May 5, 2019

Punta Cana

<form-template>
	<fields>
		<field type="header" subtype="h1" label="InPower Women's Retreat Registration Form"/>
		<field type="paragraph" subtype="p" label="Please note that passenger names&amp;nbsp; and information&amp;nbsp; must match&amp;nbsp; legals names as they appear on birth certificates , passports and other legal documents. The cruise line will charge a fee for name changes.&amp;nbsp;&amp;nbsp;"/>
		<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" required="true" label="Phone number of lead traveler" name="phone-number" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email Address" name="email" subtype="text" className="form-control"/>
		<field type="date" required="true" label="Date of Birth&amp;nbsp; (lead passenger)" name="birthday" className="form-control"/>
		<field type="radio-group" required="true" label="How many in your room?" name="how-many-in-your-cabin">
			<option label="1" value="1">1</option>
			<option label="2" value="2">2</option>
			<option label="3" value="3">3</option>
		</field>
		<field type="paragraph" subtype="p" label="Please note that passenger names&amp;nbsp; and information&amp;nbsp; must match&amp;nbsp; legals names as they appear on birth certificates , passports and other legal documents. The cruise line will charge a fee for name changes.&amp;nbsp;&amp;nbsp;"/>
		<field type="text" required="true" label="Second passenger name, date of birth, and email address" name="second-passenger-name-and-birth-date" subtype="text" className="form-control"/>
		<field type="text" label="Third passenger name,&amp;nbsp; date of birth, and email address" name="third-passenger-name-and-birth-date" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Travel Preferences"/>
		<field type="radio-group" required="true" label="Bed preference" name="bed-preference">
			<option label="King" value="king">King</option>
			<option label="Double Beds" value="double-beds">Double Beds</option>
		</field>
		<field type="radio-group" required="true" label="Room Category. Room categories can up graded for an additional fee per person" name="cabin-type">
			<option label="Allure Junior Suite Tropical View" value="allure-junior-suite-tropical-view" selected="true">Allure Junior Suite Tropical View</option>
			<option label="Allure Junior Suite Pool View" value="allure-junior-suite-pool-view">Allure Junior Suite Pool View</option>
			<option label="Allure Junior Suite Swim Up" value="allure-junior-suite-swim-up">Allure Junior Suite Swim Up</option>
			<option label="Allure Junior Suite Partial Ocean View" value="allure-junior-suite-partial-ocean-view">Allure Junior Suite Partial Ocean View</option>
		</field>
		<field type="radio-group" required="true" label="Will you need flights?" name="hotel-preference">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="text" label="Departure City" name="departure-city" subtype="text" className="form-control"/>
	</fields>
</form-template>