TravelJoy

Erica Boucher

International Yoga Travel

NEW ZEALAND WAITLIST

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" name="first-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 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="text" required="true" label="On which trip would you like to join us should a space open up?&amp;nbsp;" name="on-which-trip-would-you-like-to-join-us-should-a-space-open-up-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many spaces would you need?" description="Ideally 1 or 2  but please be as specific as possible." name="how-many-space-would-you-need" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Tell us about your rooming needs" toggle="true" inline="true" name="tell-us-about-your-rooming-needs">&#13;
			<option label="I already have a traveling companion who wants to be my roommate" value="i-already-have-a-traveling-companion-who-wants-to-be-my-roommate">I already have a traveling companion who wants to be my roommate</option>&#13;
			<option label="I don't yet have a traveling companion, but would be interested in being paired with a roommate of the same gender" value="i-dont-yet-have-a-traveling-companion-but-would-be-interested-in-being-paired-with-a-roommate-of-the-same-gender">I don't yet have a traveling companion, but would be interested in being paired with a roommate of the same gender</option>&#13;
			<option label="I would prefer single occupancy, but am open to sharing a room with someone of the same gender" value="i-would-prefer-single-occupancy-but-am-open-to-sharing-a-room-with-someone-of-the-same-gender">I would prefer single occupancy, but am open to sharing a room with someone of the same gender</option>&#13;
			<option label="I only want to go if I can have my own room (and I'm willing to pay the single occupancy price)" value="i-only-want-to-go-if-i-can-have-my-own-room-and-im-willing-to-pay-the-single-occupancy-price">I only want to go if I can have my own room (and I'm willing to pay the single occupancy price)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are you already on International Yoga Travel's email list?&amp;nbsp;" toggle="true" name="are-you-already-on-international-yoga-travels-email-list-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No, but please add me" value="no-but-please-add-me">No, but please add me</option>&#13;
			<option label="No, please only communicate with me about openings on this trip." value="no-please-only-communicate-with-me-about-openings-on-this-trip">No, please only communicate with me about openings on this trip.</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>