TravelJoy

Serenity Sand & Seas Travel ™

Serenity Sand & Seas Travel LLC

Tierra's Birthday Punta Cana 2027

May 20, 2027 to May 25, 2027

Punta Cana, Dominican Republic

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		<field type="paragraph" subtype="p" label="PLEASE READ: Please ensure all information is correct before submission. Please check your email account shortly for your receipt and other communications.&amp;nbsp; All traveler(s) provide full name and date of birth as it shows on your passport for international travel. All US Citizens need a valid passport book with an expiration date at least 6 months after the travel end date. Birth certificates or other forms will NOT be accepted. Non-US citizens with a valid passport will require the necessary visa (if they apply) to travel back into the US after the travel has completed. You may submit a photo copy below."/>&#13;
		<field type="header" subtype="h1" label="Primary Traveler Information"/>&#13;
		<field type="text" required="true" label="Prefix" description="List Mr. / Miss / Ms. or Mrs." 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="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Passport Info"/>&#13;
		<field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/>&#13;
		<field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/>&#13;
		<field type="radio-group" label="Gender" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
			<option label="X" value="other">X</option>&#13;
		</field>&#13;
		<field type="text" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Nationality" name="nationality" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Citizenship" name="citizenship" subtype="text" className="form-control"/>&#13;
		<field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Mailing 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="radio-group" required="true" label="Room Category" name="room-category">&#13;
			<option label="xhale club Master Suite Ocean Front" value="xhale-club-master-suite-ocean-front">xhale club Master Suite Ocean Front</option>&#13;
			<option label="xhale club Junior Suite Swim Up" value="xhale-club-junior-suite-swim-up">xhale club Junior Suite Swim Up</option>&#13;
			<option label="xhale club Junior Suite Partial Ocean View Whirlpool" value="xhale-club-junior-suite-partial-ocean-view-whirlpool">xhale club Junior Suite Partial Ocean View Whirlpool</option>&#13;
			<option label="xhale club Junior Suite Tropical View" value="xhale-club-junior-suite-tropical-view">xhale club Junior Suite Tropical View</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Bed Preference" name="bed-preference">&#13;
			<option label="King" value="king">King</option>&#13;
			<option label="2 Double" value="2-double">2 Double</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you need airfare?" name="do-you-need-airfare">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Flights Already Purchased / Plan on Purchasing With Points/Credit" value="flights-already-purchased-plan-on-purchasing-with-pointscredit">Flights Already Purchased / Plan on Purchasing With Points/Credit</option>&#13;
		</field>&#13;
		<field type="text" label="Request Air (If applicable)&amp;nbsp;" description="Please provide your nearest airport code you prefer to depart" placeholder="JFK  RDU  ATL  LAX" name="request-air-if-applicable-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred Airline Seating" inline="true" name="preferred-airline-seating">&#13;
			<option label="First Class/Business" value="first-classbusiness">First Class/Business</option>&#13;
			<option label="Preferred" value="preferred">Preferred</option>&#13;
			<option label="Main Cabin Coach" value="main-cabin-coach">Main Cabin Coach</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Seat preference" description="We will make every effort to honor your seat preferences  but we cannot guarantee specific seats. We recommend checking with the airline you are flying with for their specific policies regarding seat assignments and any applicable fees associated with seat selection." inline="true" name="seat-preference">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="Opposite aisle" value="opposite aisle">Opposite aisle</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" 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="textarea" label="Roommate Details" description="Please provide your roommate full name here. If you do not provide this information and have requested to reserve a double/triple/quad occupancy room/cabin and do not provide this info you will be charged at a solo rate. Solo rate are priced with an additional supplement fee." placeholder="List your roommate(s) full name here" name="roommate-details" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Insurance"/>&#13;
		<field type="radio-group" required="true" label="By making an insurance selection below, I understand that declining 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.&amp;nbsp;" name="by-making-an-insurance-selection-below-i-understand-that-declining-insurance-could-result-in-the-loss-of-my-travel-cost-andor-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;
			<option label="I accept insurance and would like to purchase. Please send my free quote. I will complete my purchase" value="i-accept-insurance-and-would-like-to-purchase-please-send-my-free-quote-i-will-complete-my-purchase">I accept insurance and would like to purchase. Please send my free quote. I will complete my purchase</option>&#13;
			<option label="I decline insurance and understand that this could result in the loss of all travel costs associated with this booking." value="i-decline-insurance-and-understand-that-this-could-result-in-the-loss-of-all-travel-costs-associated-with-this-booking">I decline insurance and understand that this could result in the loss of all travel costs associated with this booking.</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="We cannot add Cancel For Any Reason insurance after deposit (must be purchased within 14 days of initial deposit), however, we can add other traditional insurance at a later date."/>&#13;
		<field type="header" subtype="h1" label="Additional Information"/>&#13;
		<field type="text" label="Meal Preference (Please list any food allergies or dietary restrictions):&amp;nbsp;" description="This information will help us notify the resort or cruise line in advance  ensuring your dietary needs are accommodated whenever possible." name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Special Requests (Accessibility needs, medical conditions, room preferences, etc.):&amp;nbsp;" description="We’ll do our best to communicate your request to the resort  cruise line  or airline in advance  though accommodations may vary by location." placeholder="Example: diabetic needs  wheelchair assistance  grab bars in bathroom" name="special-requests-accessibility-needs-medical-conditions-room-preferences-etc-" className="form-control"/>&#13;
		<field type="textarea" label="Other Questions/Comments" name="other-questionscomments" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="By submitting this client form, you consent to receive travel related content via email from Serenity Sand &amp;amp; Seas Travel LLC"/>&#13;
	</fields>&#13;
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