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Kayla Vanderbilt
Vanderbilt Vacations
Jamaica Vacay Group
Jun 21, 2024 to Jun 26, 2024
Montego Bay, Jamaica
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Vanderbilt Vacations Group Booking Form"/> <field type="paragraph" subtype="p" label="Submitting information via this reservation form DOES NOT automatically confirm your reservation nor charge your credit card.&nbsp; After you submit this form,&nbsp; Vanderbilt Vacations will check the current prices for the room category you chose and email you with the price. At that time you will confirm that you would like to move forward with the reservation.&nbsp; After the reservation has been made and the payment processed, we will send you an email confirmation of your reservation and payment received."/> <field type="paragraph" subtype="p" label="Please enter your legal name(s) EXACTLY as it appears on your valid passport.&nbsp; Vanderbilt Vacations is not liable if the information below is not entered correctly. "/> <field type="paragraph" subtype="p" label="It is your responsibility to review the invoice upon receipt to ensure 100% accuracy.&nbsp; Please check thoroughly for any discrepancies or errors. Vanderbilt Vacations is NOT responsible for errors, or any fees associated with necessary changes after 24 hours of receipt. "/> <field type="header" subtype="h1" label="Reservation Details"/> <field type="select" required="true" label="Total Number of Guests in Room" name="total-number-of-guests-in-room" className="form-control"> <option label="1" value="1">1</option> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> </field> <field type="radio-group" required="true" label="Is this reservation for hotel and/or air?" name="is-this-reservation-for-hotel-andor-air"> <option label="Hotel ONLY" value="hotel-only">Hotel ONLY</option> <option label="Hotel and Air" value="hotel-and-air">Hotel and Air</option> </field> <field type="text" label="If requesting air, what is your departure airport?" name="if-requesting-air-what-is-your-departure-airport" subtype="text" className="form-control"/> <field type="date" required="true" label="Departure Date or Hotel Check In Date" name="departure-date" className="form-control"/> <field type="date" required="true" label="Return Date of Hotel Check-Out Date" name="return-date" className="form-control"/> <field type="header" subtype="h2" label="Primary Guest Name"/> <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 type="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" 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="header" subtype="h2" label="Important Dates"/> <field type="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h1" label="Emergency Contact Info"/> <field type="text" label="Contact Name" name="contact-name" subtype="text" className="form-control"/> <field type="text" label="Contact Number" name="contact-number" subtype="text" className="form-control"/> <field type="text" label="Contact Relationship" name="contact-relationship" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Additional Guests"/> <field type="paragraph" subtype="p" label="Important: If you are adding additional guests, please fill out each piece of information requested. This information is required in order to complete the reservation. If any section is not completed, it will delay booking the reservation until the information has been collected. Thank you in advance for understanding.&nbsp; PLEASE ENTER NAMES EXACTLY AS THEY APPEAR ON THE PASSPORT."/> <field type="header" subtype="h2" label="Guest 2"/> <field type="text" label="Guest 2: Full Name" description="Must be name as it appears on passport" name="guest-2-full-name" subtype="text" className="form-control"/> <field type="text" label="Guest 2: Phone Number" name="guest-2-phone-number" subtype="text" className="form-control"/> <field type="text" label="Guest 2: Email Address" name="guest-2-email-address" subtype="text" className="form-control"/> <field type="date" label="Guest 2: Date of Birth" name="guest-2-date-of-birth" className="form-control"/> <field type="radio-group" label="Guest 2: Gender" name="guest-2-gender"> <option label="Female" value="female">Female</option> <option label="Male" value="male">Male</option> <option label="Other" value="other">Other</option> </field> <field type="header" subtype="h1" label="Guest 2 Emergency Contact Info"/> <field type="radio-group" label="Guest 2 has the same emergency contact information as Primary Guest?" name="guest-2-has-the-same-emergency-contact-information-as-primary-guest"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Guest 2: Emergency Contact Name" name="guest-2-emergency-contact-name" subtype="text" className="form-control"/> <field type="text" label="Guest 2: Emergency Contact Number" name="guest-2-emergency-contact-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Guest 3"/> <field type="text" label="Guest 3: Full Name" description="Must be name as it appears on passport" name="guest-3-full-name" subtype="text" className="form-control"/> <field type="text" label="Guest 3: Email Address" name="guest-3-email-address" subtype="text" className="form-control"/> <field type="date" label="Guest 3: Date of Birth" name="guest-3-date-of-birth" className="form-control"/> <field type="radio-group" label="Guest 3: Gender" name="guest-3-gender"> <option label="Female" value="female">Female</option> <option label="Male" value="male">Male</option> <option label="Other" value="other">Other</option> </field> <field type="header" subtype="h1" label="Guest 3 Emergency Contact Info"/> <field type="radio-group" label="Guest 3 has the same emergency contact information as Primary Guest?" name="guest-3-has-the-same-emergency-contact-information-as-primary-guest"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Guest 3: Emergency Contact Name" name="guest-3-emergency-contact-name" subtype="text" className="form-control"/> <field type="text" label="Guest 3: Emergency Contact Number" name="guest-3-emergency-contact-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Guest 4"/> <field type="text" label="Guest 4: Full Name" description="Must be name as it appears on passport" name="guest-4-full-name" subtype="text" className="form-control"/> <field type="text" label="Guest 4: Email Address" name="guest-4-email-address" subtype="text" className="form-control"/> <field type="date" label="Guest 4: Date of Birth" name="guest-4-date-of-birth" className="form-control"/> <field type="radio-group" label="Guest 4: Gender" name="guest-4-gender"> <option label="Female" value="female">Female</option> <option label="Male" value="male">Male</option> <option label="Other" value="other">Other</option> </field> <field type="header" subtype="h1" label="Guest 4 Emergency Contact Info"/> <field type="radio-group" label="Guest 4 has the same emergency contact information as Primary Guest?" name="guest-4-has-the-same-emergency-contact-information-as-primary-guest"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Guest 4: Emergency Contact Name" name="guest-4-emergency-contact-name" subtype="text" className="form-control"/> <field type="text" label="Guest 4: Emergency Contact Number" name="guest-4-emergency-contact-number" subtype="text" className="form-control"/> <field type="textarea" label="Additional comments or notes to travel agent (i.e. room preferences, preferred flight times, etc.)" name="additional-comments-or-notes-to-travel-agent-ie-room-preferences-preferred-flight-times-etc" className="form-control"/> </fields> </form-template> </body> </html>
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