Share your information with Chelsea Rabeiro

Chelsea Rabeiro

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	<fields>&#13;
		<field type="header" subtype="h2" label="African Safari Inquiry Form"/>&#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 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="text" label="How were you referred to us?" name="text-1749559639343" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number of Adults" name="text-1749559738925" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Number of Children (include ages)" name="text-1749559738289" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred Travel Dates or Timeframe" name="text-1749559790459" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Are your dates flexible?" name="radio-group-1749560241295">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="How many nights are you hoping to travel?" name="text-1749559902293" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Budget Awareness"/>&#13;
		<field type="text" label="What is your total budget PER PERSON, excluding international flights? &amp;nbsp;&amp;nbsp;" placeholder="Note: Safari trips typically start around $800 per person per night." name="text-1749560144178" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Do you need help booking international flights?" name="are-international-flights-included-in-this-budget">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you using points or miles for any portion of your flights?" name="are-you-using-points-or-miles-for-any-portion-of-your-flights">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Partially" value="partially">Partially</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Trip Style &amp;amp; Comfort"/>&#13;
		<field type="checkbox-group" label="🏕 What style of safari accommodation appeals to you? (Check all that apply)" name="type-of-travel">&#13;
			<option label="&#9;•&#9;Classic Tented Safari Camps (authentic and close to nature)" value="-classic-tented-safari-camps-authentic-and-close-to-nature">	•	Classic Tented Safari Camps (authentic and close to nature)</option>&#13;
			<option label="&#9;•&#9;Elevated Tented Camps (canvas with real beds, ensuite bathrooms, and comforts)" value="-elevated-tented-camps-canvas-with-real-beds-ensuite-bathrooms-and-comforts">	•	Elevated Tented Camps (canvas with real beds, ensuite bathrooms, and comforts)</option>&#13;
			<option label="&#9;•&#9;Boutique Safari Lodges (intimate, design-forward, often locally owned)" value="-boutique-safari-lodges-intimate-designforward-often-locally-owned">	•	Boutique Safari Lodges (intimate, design-forward, often locally owned)</option>&#13;
			<option label="&#9;•&#9;Ultra-Luxury Safari Lodges (high-end amenities, spa services, gourmet dining)" value="-ultraluxury-safari-lodges-highend-amenities-spa-services-gourmet-dining">	•	Ultra-Luxury Safari Lodges (high-end amenities, spa services, gourmet dining)</option>&#13;
			<option label="&#9;•&#9;Exclusive-Use Safari Camps (booked just for your group – full privacy and flexibility)" value="-exclusiveuse-safari-camps-booked-just-for-your-group-full-privacy-and-flexibility">	•	Exclusive-Use Safari Camps (booked just for your group – full privacy and flexibility)</option>&#13;
			<option label="&#9;•&#9;Unique Stays (treehouses, sleep-outs under the stars, sky decks, etc.)" value="-unique-stays-treehouses-sleepouts-under-the-stars-sky-decks-etc">	•	Unique Stays (treehouses, sleep-outs under the stars, sky decks, etc.)</option>&#13;
			<option label="&#9;•&#9;Mobile Safari Camps (move with the wildlife – for adventurous travelers)" value="-mobile-safari-camps-move-with-the-wildlife-for-adventurous-travelers">	•	Mobile Safari Camps (move with the wildlife – for adventurous travelers)</option>&#13;
			<option label="&#9;•&#9;Eco-Lodges / Sustainability-Focused Camps" value="-ecolodges-sustainabilityfocused-camps">	•	Eco-Lodges / Sustainability-Focused Camps</option>&#13;
			<option label="&#9;•&#9;I’m open to suggestions and guidance." value="-im-open-to-suggestions-and-guidance">	•	I’m open to suggestions and guidance.</option>&#13;
		</field>&#13;
		<field type="radio-group" label="✨ What overall atmosphere or feel are you looking for?&amp;nbsp;" name="what-level-of-comfort-are-you-looking-for">&#13;
			<option label="Simple &amp; Comfortable (I care more about the experience than luxury)" value="simple-comfortable-i-care-more-about-the-experience-than-luxury">Simple &amp; Comfortable (I care more about the experience than luxury)</option>&#13;
			<option label="Refined &amp; Stylish (I love a good aesthetic and some creature comforts)" value="refined-stylish-i-love-a-good-aesthetic-and-some-creature-comforts">Refined &amp; Stylish (I love a good aesthetic and some creature comforts)</option>&#13;
			<option label="Top-Tier &amp; Indulgent (I want something really special, luxurious, and seamless)" value="toptier-indulgent-i-want-something-really-special-luxurious-and-seamless">Top-Tier &amp; Indulgent (I want something really special, luxurious, and seamless)</option>&#13;
			<option label="Flexible – the right balance of comfort, authenticity, and value" value="flexible-the-right-balance-of-comfort-authenticity-and-value">Flexible – the right balance of comfort, authenticity, and value</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What pace of travel do you prefer?" name="what-pace-of-travel-do-you-prefer">&#13;
			<option label="Move around every few days" value="move-around-every-few-days">Move around every few days</option>&#13;
			<option label="Stay in fewer places longer" value="stay-in-fewer-places-longer">Stay in fewer places longer</option>&#13;
		</field>&#13;
		<field type="radio-group" label="How many total flights are you open to within your itinerary?" name="how-many-total-flights-are-you-open-to-within-your-itinerary">&#13;
			<option label="1-2 flights" value="12-flights">1-2 flights</option>&#13;
			<option label="3+ flights" value="3-flights">3+ flights</option>&#13;
			<option label="Not sure" value="not-sure">Not sure</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Wildlife &amp;amp; Safari Preferences"/>&#13;
		<field type="checkbox-group" label="What are you looking to experience?" name="checkbox-group-1749484925181">&#13;
			<option label="The Big 5 Wildlife Viewing" value="the-big-5-wildlife-viewing">The Big 5 Wildlife Viewing</option>&#13;
			<option label="Great Migration (Jul-Oct or Jan-Mar)" value="great-migration-juloct-or-janmar">Great Migration (Jul-Oct or Jan-Mar)</option>&#13;
			<option label="Private Safari Experience" value="private-safari-experience">Private Safari Experience</option>&#13;
			<option label="Small Group Safari (Max 6-8 people)" value="small-group-safari-max-68-people">Small Group Safari (Max 6-8 people)</option>&#13;
			<option label="Walking Safari" value="walking-safari">Walking Safari</option>&#13;
			<option label="Boating or Canoe Safari" value="boating-or-canoe-safari">Boating or Canoe Safari</option>&#13;
			<option label="Night Game Drives" value="night-game-drives">Night Game Drives</option>&#13;
			<option label="Conservation / Sustainability Focus" value="conservation-sustainability-focus">Conservation / Sustainability Focus</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="🌍 What region(s) are you most interested in exploring? (Check all that apply)" name="where-would-you-like-to-go">&#13;
			<option label="Southern Africa (South Africa, Zimbabwe, Zambia, Botswana, Namibia)" value="southern-africa-south-africa-zimbabwe-zambia-botswana-namibia">Southern Africa (South Africa, Zimbabwe, Zambia, Botswana, Namibia)</option>&#13;
			<option label="East Africa (Kenya, Tanzania, Uganda, Rwanda)" value="east-africa-kenya-tanzania-uganda-rwanda">East Africa (Kenya, Tanzania, Uganda, Rwanda)</option>&#13;
			<option label="Coastal or Island Add-Ons (Mozambique, Zanzibar, Seychelles, Madagascar)" value="coastal-or-island-addons-mozambique-zanzibar-seychelles-madagascar">Coastal or Island Add-Ons (Mozambique, Zanzibar, Seychelles, Madagascar)</option>&#13;
			<option label="Not sure yet – I’m open to suggestions" value="not-sure-yet-im-open-to-suggestions">Not sure yet – I’m open to suggestions</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Add-On Interests"/>&#13;
		<field type="checkbox-group" label="Are you interested in combining your safari with any of the following?" name="checkbox-group-1749485527678">&#13;
			<option label="Cape Town (city, culture, wine)" value="cape-town-city-culture-wine">Cape Town (city, culture, wine)</option>&#13;
			<option label="Winelands (Franschhoek, Stellenbosch)" value="winelands-franschhoek-stellenbosch">Winelands (Franschhoek, Stellenbosch)</option>&#13;
			<option label="Victoria Falls" value="victoria-falls">Victoria Falls</option>&#13;
			<option label="Mozambique or Zanzibar (beach)" value="mozambique-or-zanzibar-beach">Mozambique or Zanzibar (beach)</option>&#13;
			<option label="Gorilla or Chimpanzee Trekking" value="gorilla-or-chimpanzee-trekking">Gorilla or Chimpanzee Trekking</option>&#13;
			<option label="Egypt or Morocco" value="egypt-or-morocco">Egypt or Morocco</option>&#13;
			<option label="Indian Ocean Islands (Mauritius, Seychelles, Maldives)" value="indian-ocean-islands-mauritius-seychelles-maldives">Indian Ocean Islands (Mauritius, Seychelles, Maldives)</option>&#13;
			<option label="Something else" value="something-else">Something else</option>&#13;
		</field>&#13;
		<field type="text" label="Other ideas or interests you&#39;d like to include?" name="text-1749488039390" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Photography, Logistics &amp;nbsp;Special Notes"/>&#13;
		<field type="radio-group" label="Is photography a priority for this trip?" name="is-photography-a-priority-for-this-trip">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Casual" value="casual">Casual</option>&#13;
		</field>&#13;
		<field type="text" label="Are you celebrating anything special? (honeymoon, birthday, etc.)" name="text-1749488037538" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any dietary or accessibility needs to be aware of?" name="text-1749561094910" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Anything else you&#39;d like us to know?" name="notes" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="I understand that it is vitally important that I read the information emailed to me by my advisor in order to be prepared for travel in the current climate. I also understand that I share the responsibility of remaining informed about the entry requirements for the destination(s) I am visiting. I will secure all necessary testing and complete all forms required for travel. Our terms &amp;amp; conditions can be found at www.chelaxadventures.com/terms" name="i-understand-that-it-is-vitally-important-that-i-read-the-information-emailed-to-me-by-my-advisor-in-order-to-be-prepared-for-travel-in-the-current-climate-i-also-understand-that-i-share-the-responsibility-of-remaining-informed-about-the-entry-requirements-for-the-destinations-i-am-visiting-i-will-secure-all-necessary-testing-and-complete-all-forms-required-for-travel-our-terms-conditions-can-be-found-at-wwwchelaxadventurescomterms">&#13;
			<option label="I agree" value="i-agree">I agree</option>&#13;
			<option label="I do not agree" value="i-do-not-agree">I do not agree</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="*Please note we charge a planning fee for these services. The fee depends on the length of the trip, number of destinations and amount of people/rooms in your party. We will go over this and more in our intro call.&amp;nbsp;"/>&#13;
	</fields>&#13;
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