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Morgan Sanders
Travelmation
Antartica - Hosted
Antartica
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Antarctica 2028: Join the Waitlist"/> <field type="paragraph" subtype="p" label="Tell me about your family and I will send you real numbers the moment I have them. Waitlist families hear pricing and dates before anyone else. Joining the waitlist costs nothing."/> <field type="header" subtype="h1" label="Full name"/> <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="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="select" required="true" label="OK to text me trip updates?" name="select-1785782561428" className="form-control"> <option label="Yes" value="">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" required="true" label="Your Family" placeholder="Name and number of: adults traveling the number of children traveling and ages (if applicable). If this is a multi-generational trip are grandparents traveling? For you is this a couples only trip?" name="textarea-1785083165697" className="form-control"/> <field type="text" label="Youngest traveler's age at departure (notes: expedition flights and zodiac operations carry age and physical requirements set by the operator, and I confirm every one for your exact family before you reserve)" name="text-1786200936626" subtype="text" className="form-control"/> <field type="text" label="Everyone should be comfortable walking on uneven snowy ground and stepping into a small boat with crew assistance. Any concerns?" name="text-1786201032468" subtype="text" className="form-control"/> <field type="radio-group" label="Has anyone experienced seasickness or motion sensitivity?" name="radio-group-1786201055429"> <option label="Yes" value="">Yes</option> <option label="No" value="no">No</option> <option label="Mildly" value="mildly">Mildly</option> <option label="We don't know yet" value="we-dont-know-yet">We don't know yet</option> </field> <field type="radio-group" label="Cabin preference" name="radio-group-1785950424348"> <option label="Standard" value="standard">Standard</option> <option label="Interested in upgrades" value="interested-in-upgrades">Interested in upgrades</option> <option label="Triple occupancy needed" value="triple-occupancy-needed">Triple occupancy needed</option> <option label="Solo cabin needed" value="solo-cabin-needed">Solo cabin needed</option> <option label="Tell me the options!" value="tell-me-the-options">Tell me the options!</option> </field> <field type="radio-group" label="Does everyone traveling have a valid passport?" description="A passport is required for this sailing." name="radio-group-1785950551084"> <option label="Yes" value="yes">Yes</option> <option label="No - in process or will obtain before travel" value="no-in-process-or-will-obtain-before-travel">No - in process or will obtain before travel</option> </field> <field type="radio-group" label="Which departure would you most likely consider?" name="radio-group-1785806392779"> <option label="November 2028" value="november-2028">November 2028</option> <option label="December 2028" value="december-2028">December 2028</option> <option label="December 2029" value="december-2029">December 2029</option> <option label="I’m flexible " value="im-flexible-">I’m flexible </option> <option label="Whichever fills first!" value="whichever-fills-first">Whichever fills first!</option> </field> <field type="radio-group" label="Are you aware a medical questionnaire is required for polar expeditions?" name="radio-group-1786201166559"> <option label="Yes" value="yes">Yes</option> <option label="No, tell me more!" value="no-tell-me-more">No, tell me more!</option> </field> <field type="text" label="Any mobility considerations, dietary needs or allergies?" name="text-1785950762819" subtype="text" className="form-control"/> <field type="radio-group" label="How ready are you:" name="radio-group-1785782775360"> <option label="Ready to deposit when it opens" value="ready-to-deposit-when-it-opens">Ready to deposit when it opens</option> <option label="Deciding within a few weeks" value="deciding-within-a-few-weeks">Deciding within a few weeks</option> <option label="Gathering information" value="gathering-information">Gathering information</option> </field> <field type="radio-group" label="Are you a new client or existing client of Morgan's?" name="radio-group-1785083692233"> <option label="New" value="new">New</option> <option label="Existing" value="existing">Existing</option> </field> <field type="text" label="How did you hear about this trip?" name="text-1785782818614" subtype="text" className="form-control"/> <field type="select" label="Are you in our Family Adventure Travel | Travel With Us by Porchlight Passport Facebook Group?" name="select-1785083738103" className="form-control"> <option label="I have joined" value="i-have-joined">I have joined</option> <option label="Not yet - but I will" value="not-yet-but-i-will">Not yet - but I will</option> <option label="I don't have Facebook" value="i-dont-have-facebook">I don't have Facebook</option> </field> <field type="text" label="Is there anything else you'd like us to know or you'd like to know?" name="text-1785083888587" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="By submitting, you agree to be contacted about this trip. See our privacy policy on porchlightpassport.com/travel-with-us"/> </fields> </form-template> </body> </html>
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