Share your information with Karen Cherrett

Karen Cherrett

Relaxed Travel Escapes

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h1" label="Tell Us About Your Disney Adventure"/>&#13;
		<field type="date" label="Start date for your Disney vacation" name="start-date-for-your-disney-vacation" className="form-control"/>&#13;
		<field type="date" label="End date for your Disney vacation" name="end-date-for-your-disney-vacation" className="form-control"/>&#13;
		<field type="radio-group" label="Are your travel dates flexible?" name="are-your-travel-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" label="How many adults?" name="how-many-adults" className="form-control">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
			<option label="6" value="6">6</option>&#13;
			<option label="7" value="7">7</option>&#13;
			<option label="8" value="8">8</option>&#13;
			<option label="9" value="9">9</option>&#13;
			<option label="10" value="10">10</option>&#13;
		</field>&#13;
		<field type="text" label="How many children, and their ages?" name="how-many-children-and-their-ages" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where would you be flying from?" description="Please list your departure city" name="where-would-you-be-flying-from" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Which class of air service do you prefer?" name="which-class-of-air-service-do-you-prefer" className="form-control">&#13;
			<option label="Coach" value="coach">Coach</option>&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Premium Economy/Comfort" value="premium-economycomfort">Premium Economy/Comfort</option>&#13;
			<option label="Business" value="business">Business</option>&#13;
			<option label="First Class" value="first-class">First Class</option>&#13;
		</field>&#13;
		<field type="select" label="Will you require parking?" name="will-you-require-parking" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Your Park Experience"/>&#13;
		<field type="radio-group" label="Which Disney destination do you want to visit?" name="which-disney-destination-do-you-want-to-visit">&#13;
			<option label="Disneyland (California)" value="disneyland-california">Disneyland (California)</option>&#13;
			<option label="Disneyland California Adventure Park" value="disneyland-california-adventure-park">Disneyland California Adventure Park</option>&#13;
			<option label="Walt Disney World (Orlando FL)" value="walt-disney-world-orlando-fl">Walt Disney World (Orlando FL)</option>&#13;
			<option label="Disneyland Paris" value="disneyland-paris">Disneyland Paris</option>&#13;
			<option label="Tokyo Disney" value="tokyo-disney">Tokyo Disney</option>&#13;
			<option label="Aulani Resort &amp; Spa (Hawaii)" value="aulani-resort-spa-hawaii">Aulani Resort &amp; Spa (Hawaii)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Have you been to Disneyland before?" name="have-you-been-to-disneyland-before">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" label="How many days do you want to spend in the park(s)?" name="how-many-days-do-you-want-to-spend-in-the-parks" className="form-control">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5" value="5">5</option>&#13;
		</field>&#13;
		<field type="textarea" label="What are the key things you want to experience on your Disney adventure?" name="what-are-the-key-things-you-want-to-experience-on-your-disney-adventure" rows="6" className="form-control"/>&#13;
		<field type="checkbox-group" label="Which Disney magic do you want to be sure not to miss?" name="which-disney-magic-do-you-want-to-be-sure-not-to-miss" other="true">&#13;
			<option label="Roller coaster" value="roller-coaster">Roller coaster</option>&#13;
			<option label="Princesses" value="princesses">Princesses</option>&#13;
			<option label="The Disney water challenge" value="the-disney-water-challenge">The Disney water challenge</option>&#13;
			<option label="Water Rides" value="water-rides">Water Rides</option>&#13;
			<option label="Star Wars" value="star-wars">Star Wars</option>&#13;
			<option label="Marvel" value="marvel">Marvel</option>&#13;
			<option label="Sit down dining" value="sit-down-dining">Sit down dining</option>&#13;
			<option label="Parades" value="parades">Parades</option>&#13;
			<option label="Fireworks" value="fireworks">Fireworks</option>&#13;
			<option label="Theatre shows" value="theatre-shows">Theatre shows</option>&#13;
			<option label="Character meet n greet" value="character-meet-n-greet">Character meet n greet</option>&#13;
			<option label="Dining with the characters" value="dining-with-the-characters">Dining with the characters</option>&#13;
			<option label="Having a Harry Potter experience" value="having-a-harry-potter-experience">Having a Harry Potter experience</option>&#13;
			<option label="Water parks" value="water-parks">Water parks</option>&#13;
		</field>&#13;
		<field type="textarea" label="What are the most important things you want to get from your Disney experience?" name="what-are-the-most-important-things-you-want-to-get-from-your-disney-experience" rows="6" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Your Accommodation"/>&#13;
		<field type="radio-group" label="Where do you want to stay?" name="where-do-you-want-to-stay">&#13;
			<option label="A Disney Park Hotel (connected to the park)" value="a-disney-park-hotel-connected-to-the-park">A Disney Park Hotel (connected to the park)</option>&#13;
			<option label="A Good Neighbor Hotel (outside the park)" value="a-good-neighbor-hotel-outside-the-park">A Good Neighbor Hotel (outside the park)</option>&#13;
			<option label="Other accommodation" value="other-accommodation">Other accommodation</option>&#13;
		</field>&#13;
		<field type="text" label="Have you stayed in a Disney hotel before, if so, which one? Even if it was as a child." name="have-you-stayed-in-a-disney-hotel-before-if-so-which-one-even-if-it-was-as-a-child" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What accommodation features are you wanting?" description="Check all that apply" name="what-accommodation-features-are-you-wanting" other="true">&#13;
			<option label="Full kitchen" value="full-kitchen">Full kitchen</option>&#13;
			<option label="Mini kitchen" value="mini-kitchen">Mini kitchen</option>&#13;
			<option label="Separate rooms for kids and adults" value="separate-rooms-for-kids-and-adults">Separate rooms for kids and adults</option>&#13;
			<option label="Bath tub" value="bath-tub">Bath tub</option>&#13;
			<option label="Washer/dryer" value="washerdryer">Washer/dryer</option>&#13;
			<option label="Pool view" value="pool-view">Pool view</option>&#13;
			<option label="Park view" value="park-view">Park view</option>&#13;
			<option label="Fireworks view" value="fireworks-view">Fireworks view</option>&#13;
			<option label="Wheelchair accessible/hearing accessible" value="wheelchair-accessiblehearing-accessible">Wheelchair accessible/hearing accessible</option>&#13;
			<option label="No stairs" value="no-stairs">No stairs</option>&#13;
			<option label="Near bus stop" value="near-bus-stop">Near bus stop</option>&#13;
			<option label="Near ice machine" value="near-ice-machine">Near ice machine</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please tell me about your bedding preferences?&amp;nbsp; e.g. Queen/single/cot&amp;nbsp;" name="please-tell-me-about-your-bedding-preferences-eg-queensinglecot-" rows="6" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Anything else we should know?"/>&#13;
		<field type="textarea" label="Is there anything else you want us to know, so we can plan the best Disney experience for you? What are the must haves to make the perfect trip?" name="is-there-anything-else-you-want-us-to-know-so-we-can-plan-the-best-disney-experience-for-you-what-are-the-must-haves-to-make-the-perfect-trip" rows="6" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="About you"/>&#13;
		<field type="textarea" label="Full Legal Names (as they appear on passport) and birthdates of every person traveling" name="full-legal-names-as-they-appear-on-passport-and-birthdates-of-every-person-traveling" rows="10" className="form-control"/>&#13;
		<field type="text" label="Any travel restrictions or limitations I should be aware of?" name="any-travel-restrictions-or-limitations-i-should-be-aware-of" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do we have any special needs that require extra equipment/DAS pass/sensory issues/allergies, etc?" description="Wheelchair  stroller, food or other allergies" name="do-we-have-any-special-needs-that-require-extra-equipmentdas-passsensory-issuesallergies-etc" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is the best way to contact you? Phone, email, text" name="what-is-the-best-way-to-contact-you-phone-email-text" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What is your budget for this trip?" description="This is a ballpark idea to get us started" name="what-is-your-budget-for-this-trip">&#13;
			<option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-to-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-to-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-to-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-to-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000 +" value="10000-">$10,000 +</option>&#13;
			<option label="Whatever it takes" value="whatever-it-takes">Whatever it takes</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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