<form-template>
	<fields>
		<field type="paragraph" subtype="p" label="Let&#39;s make Graciela&#39;s Birthday extra special by opting into the following group activities.&amp;nbsp; Please check off the ones in which you would like to participate and review the terms and conditions of Christopher Travel LLC.&amp;nbsp; &amp;nbsp;After we receive submissions from the group we will send you an invoice for the number of tickets you selected.&amp;nbsp; Select&amp;nbsp; &quot;other&quot; to request more than three tickets.&amp;nbsp;&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="All activities are subject to availability and will be confirmed after purchase.&amp;nbsp; Scheduling will be subject to participation and availability.&amp;nbsp; All restrictions, terms and conditions of the individual tour vendors will apply.&amp;nbsp; &amp;nbsp;If you have any questions please contact Christopher Travel LLC.&amp;nbsp; (202)601-0119.&amp;nbsp; mary@christopher.travel"/>
		<field type="paragraph" subtype="p" label="Please make your selections by June 15 to ensure availability.&amp;nbsp;&amp;nbsp;"/>
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="text" label="Please list names of others in your party if you want to purchase&amp;nbsp; tickets for more than one person." name="please-list-names-of-others-in-your-party-if-you-want-to-purchase-tickets-for-more-than-one-person" subtype="text" className="form-control"/>
		<field type="paragraph" subtype="p" label="Catamaran and Snorkel Cruise: Enjoy a half day catamaran journey with time to snorkel.&amp;nbsp; This trip will be private for your group if a minimum of 14 people sign up!&amp;nbsp; &amp;nbsp;If there is one event Graciela and Anthony are hoping everyone can attend this one is it! Drinks provided.&amp;nbsp; up to $90 per person.&amp;nbsp; Actual pricing will depend on how many people participate.&amp;nbsp; Child tickets are available for ages 0-10."/>
		<field type="radio-group" label="Please select the number of tickets desired for the Catamaran Cruise" name="please-select-the-number-of-tickets-desired-" other="true">
			<option label="1ticket" value="1ticket">1ticket</option>
			<option label="2 tickets" value="2-tickets">2 tickets</option>
			<option label="3 tickets" value="3-tickets">3 tickets</option>
		</field>
		<field type="radio-group" label="Please select the number of child tickets for the Catamaran Cruise.&amp;nbsp; (ages 0-10)" name="please-select-the-number-of-child-tickets-for-the-catamaran-cruise-ages-010" other="true">
			<option label="1 Child" value="1-child">1 Child</option>
			<option label="2 Child" value="2-child">2 Child</option>
			<option label="3 Child" value="3-child">3 Child</option>
		</field>
		<field type="paragraph" subtype="p" label="Dolphin Encounter includes a kiss, hug and handshake with the dolphin.&amp;nbsp; This encounter is for guests of all ages.&amp;nbsp; Children must be accompanied by a swimming adult.&amp;nbsp; &amp;nbsp; For safety reasons pregnant women (5 months and up) can&#39;t participate in any of our aquatic programs. Women with less than 5 months into their pregnancy can participate in the Encounter program only if accompanied by another adult and after signing a Responsibility Form. $99.00"/>
		<field type="radio-group" label="Please select the number of tickets desired for the Dolphin Encounter." name="please-select-the-number-of-tickets-desired-for-the-dolphin-encounter" other="true">
			<option label="1 ticket" value="1-ticket">1 ticket</option>
			<option label="2 tickets" value="2-tickets">2 tickets</option>
			<option label="3 tickets" value="3-tickets">3 tickets</option>
		</field>
		<field type="paragraph" subtype="p" label="Dolphin Encounter Companion: This ticket is for non swimming companions who would like to accompany someone on the Dolphin Discovery to watch, but not participate.&amp;nbsp; $20.00"/>
		<field type="radio-group" label="Please select number of tickets desired for the Dolphin Encounter Companion." name="please-select-number-of-tickets-desired-for-the-dolphin-encounter-companion" other="true">
			<option label="1 ticket" value="1-ticket">1 ticket</option>
			<option label="2 tickets" value="2-tickets">2 tickets</option>
			<option label="3 tickets" value="3-tickets">3 tickets</option>
		</field>
		<field type="paragraph" subtype="p" label="Punta Cana 4x4 ATV Adventure and Macao Beach Half-Day Tour:&amp;nbsp; Explore the backcountry trails of Punta Cana on the back of a 4x4 vehicle during this guided 4.5-hour tour. Stop at a typical Dominican home, deep in the countryside to sample some of the area&#39;s local produce, coffee, cocoa and tobacco. Take a dip in the refreshing waters of an underground cave, then stop at Macao Beach for some fun in the sun and sand. Round-trip transportation from select hotels is included. Explore the area around Punta Cana on the back of a 4x4 ATV Stop at a typical Dominican household to sample some local produce like coffee, cacao and a specialty local cocktail Visit Macao Beach for some fun in the sun and sand Swim in the rejuvenating waters of an underground cave.&amp;nbsp; Must be 21 to drive.&amp;nbsp; Children ages 12 and up may ride as passengers. Pregnant women are not permitted on this tour.&amp;nbsp; &amp;nbsp;It is recommended that you bring clothing you don&#39;t mind getting muddy.&amp;nbsp; Don&#39;t forget sunscreen! Up to $95.00 per person in a shared ATV (one driver-- you can switch back and forth though)&amp;nbsp; Actual tour pricing will depend on when the tour is booked.&amp;nbsp; (right now it is only $85, but I have seen it go up to $95 so I ask you to authorize up to that price, but you will only be charge the actual tour price at the time of booking)"/>
		<field type="radio-group" label="Please select number of tickets desired for the ATV Adventure.&amp;nbsp;&amp;nbsp;" name="please-select-number-of-tickets-desired-for-the-atv-adventure-" other="true">
			<option label="1 ticket" value="1-ticket">1 ticket</option>
			<option label="2 tickets" value="2-tickets">2 tickets</option>
			<option label="3 tickets" value="3-tickets">3 tickets</option>
		</field>
		<field type="textarea" label="Notes:" name="notes" subtype="textarea" className="form-control"/>
		<field type="header" subtype="h1" label="Christopher Travel LLC Terms &amp;amp; Conditions"/>
		<field type="paragraph" subtype="p" label="We love planning trips! We are Christopher Travel LLC and we are excited to help you with your travel. The following terms &amp;amp; conditions (the &quot;Agreement&quot;) describe what you can expect from us. The terms &quot;we&quot;, &quot;us&quot;, and &quot;our&quot; refer to Christopher Travel LLC and the term &quot;you&quot; refers to the individual who signs the Agreement."/>
		<field type="paragraph" subtype="p" label="We offer retail travel services to you and other customers, which are provided by separate and independent vendors of travel services. Christopher Travel LLC does not operate, control, or otherwise provide the services of the independent travel vendors. In some instances we collect a single payment for bundled services for multiple providers, particularly for custom, foreign trips, but we still do not operate, control, or otherwise provide the services of the independent travel vendors. Our only role is to plan and facilitate your trip. Hence, as the client you agree that Christopher Travel LLC acts only as agent for the client in acquiring transportation, hotel accommodations, sightseeing and other privileges, or services for the clients’ benefit, and on the express condition that Christopher Travel LLC shall not be responsible for any loss, accident, injury, delay, defect, omission or irregularity which may occur or be occasioned, whether by reason of any act, negligence or default of any company or person engaged in or responsible for carrying out any of the arrangements, or otherwise in connection therewith."/>
		<field type="paragraph" subtype="p" label="Additional information is also available at https://christopher.travel/info/"/>
	</fields>
</form-template>