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Brad & Kylene Setzer
BK Travel
<html> <body> <form-template> <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> <field type="header" subtype="h2" label="Dancecation At Sea 2027: The Caribbean"/> <field type="header" subtype="h3" label="February 21 - February 28, 2027 | Celebrity Beyond"/> <field type="paragraph" subtype="p" label=""Beyond the horizon lies our next great adventure. Let's discover the world together, one dance at a time.""/> <field type="paragraph" subtype="p"/> <field type="header" subtype="h3" label="Solo Traveler Roommate Waitlist"/> <field type="paragraph" subtype="p" label="You are just a few steps away from our inaugural voyage! Because Dancecation is designed as an intimate, boutique luxury experience, we want to perfectly curate every detail of your journey. Since our main registration requires two people per cabin, this form is designed to help us match you with a compatible roommate."/> <field type="paragraph" subtype="p" label="Please complete the traveler information and your roommate preferences below. If we find a great match for you, we will reach out to both of you to confirm before officially locking in your cabin and collecting any payment. Let's get ready to explore the world together."/> <field type="paragraph" subtype="p" label="IMPORTANT: &nbsp;Roommate pairings are made at the sole discretion of the organizers based on the preferences submitted. Joining this waitlist does not guarantee a spot on the cruise."/> <field type="paragraph" subtype="p" label=" Agent Disclosure: Brad Setzer is an Independent Agent of Outside Agents. FST No. ST15578 and CST No. 2090937-50."/> <field type="paragraph" subtype="p"/> <field type="header" subtype="h3" label="About You"/> <field type="text" required="true" label="Phone Number" name="text-1784688573213" subtype="text" className="form-control"/> <field type="text" required="true" label="Date Of Birth" name="text-1784688586421" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="&nbsp;&nbsp;"/> <field type="header" subtype="h3" label="The Dancecation Basics"/> <field type="radio-group" required="true" label="Primary Dance Role" name="radio-group-1784688722922"> <option label="Leader" value="leader">Leader</option> <option label="Follower" value="follower">Follower</option> </field> <field type="radio-group" required="true" label="Primary Dance Role Level" name="radio-group-1784688836692"> <option label="Newcomer" value="newcomer">Newcomer</option> <option label="Novice" value="novice">Novice</option> <option label="Intermediate" value="intermediate">Intermediate</option> <option label="Advanced" value="advanced">Advanced</option> <option label="All Star" value="all-star">All Star</option> </field> <field type="paragraph" subtype="p"/> <field type="header" subtype="h3" label="Roommate Matching Information"/> <field type="radio-group" required="true" label="Sex Preference" name="radio-group-1784688949958"> <option label="Male" value="male">Male</option> <option label="Female" value="female">Female</option> <option label="I am open to sharing with any" value="i-am-open-to-sharing-with-any">I am open to sharing with any</option> </field> <field type="radio-group" required="true" label="Roommate Age Preference" name="radio-group-1784689284235"> <option label="I prefer someone similar to my age" value="i-prefer-someone-similar-to-my-age">I prefer someone similar to my age</option> <option label="I prefer someone older than me" value="i-prefer-someone-older-than-me">I prefer someone older than me</option> <option label="I prefer someone younger than me" value="i-prefer-someone-younger-than-me">I prefer someone younger than me</option> <option label="Age doesn't matter to me" value="age-doesnt-matter-to-me">Age doesn't matter to me</option> </field> <field type="radio-group" label="Stateroom Preference" name="radio-group-1784690019364"> <option label="Concierge Class (C2) – $2,290.58" value="concierge-class-c2-229058">Concierge Class (C2) – $2,290.58</option> <option label="Edge Stateroom with Infinite Veranda (E3) – $2,253.58" value="edge-stateroom-with-infinite-veranda-e3-225358">Edge Stateroom with Infinite Veranda (E3) – $2,253.58</option> <option label="Edge Stateroom with Infinite Veranda (E2) – $2,206.58" value="edge-stateroom-with-infinite-veranda-e2-220658">Edge Stateroom with Infinite Veranda (E2) – $2,206.58</option> <option label="Ocean View (O1) – $2,002.58" value="ocean-view-o1-200258">Ocean View (O1) – $2,002.58</option> <option label="Ocean View (O2) – $1,970.58" value="ocean-view-o2-197058">Ocean View (O2) – $1,970.58</option> <option label="Standard Inside (D1) – $1,957.58" value="standard-inside-d1-195758">Standard Inside (D1) – $1,957.58</option> <option label="I’m flexible with any stateroom type" value="im-flexible-with-any-stateroom-type">I’m flexible with any stateroom type</option> </field> <field type="paragraph" subtype="p" label="Disclaimer: The prices shown above are strictly per person and include all mandatory cruise taxes and port fees."/> <field type="paragraph" subtype="p" label="Important: Because our group block is limited, we cannot hold a specific cabin category while you are on the waitlist. Stateroom availability will be verified at the exact time your roommate match is finalized. If your preferred category is sold out, we will contact you with the closest available alternatives. Please note that you are selecting a cabin category guarantee only; specific room numbers and deck placements cannot be requested."/> <field type="radio-group" required="true" label="Pre Cruise Hotel Room" description=""Are you interested in splitting a pre-cruise hotel room in Fort Lauderdale the night before embarkation (Saturday February 20 2027) with your matched roommate?"" name="radio-group-1784693567434"> <option label="Yes, I would like to split a hotel room to share costs." value="yes-i-would-like-to-split-a-hotel-room-to-share-costs">Yes, I would like to split a hotel room to share costs.</option> <option label="No, I have my own pre-cruise accommodations sorted." value="no-i-have-my-own-precruise-accommodations-sorted">No, I have my own pre-cruise accommodations sorted.</option> <option label="I am not sure yet / Maybe." value="i-am-not-sure-yet-maybe">I am not sure yet / Maybe.</option> </field> <field type="paragraph" subtype="p"/> <field type="header" subtype="h3" label="Sleep Environment &amp; Health and Safety Information"/> <field type="radio-group" required="true" label="Sleep Schedule" name="radio-group-1784689025074"> <option label="Early Bird (I usually go to bed and wake up early)" value="early-bird-i-usually-go-to-bed-and-wake-up-early">Early Bird (I usually go to bed and wake up early)</option> <option label="Night Owl (I stay up late social dancing and sleep in)" value="night-owl-i-stay-up-late-social-dancing-and-sleep-in">Night Owl (I stay up late social dancing and sleep in)</option> <option label="Flexible / Heavy Sleeper (Schedules and noise don't bother me)" value="flexible-heavy-sleeper-schedules-and-noise-dont-bother-me">Flexible / Heavy Sleeper (Schedules and noise don't bother me)</option> </field> <field type="select" required="true" label="My Sleep Profile (Select ALL That Apply)" name="select-1784690209066" multiple="multiple" className="form-control"> <option label="Light Sleeper" value="light-sleeper">Light Sleeper</option> <option label="Heavy Sleeper" value="heavy-sleeper">Heavy Sleeper</option> <option label="Snorer" value="snorer">Snorer</option> <option label="CPAP User" value="cpap-user">CPAP User</option> <option label="Cold Room Sleeper" value="cold-room-sleeper">Cold Room Sleeper</option> <option label="Hot Room Sleeper" value="hot-room-sleeper">Hot Room Sleeper</option> </field> <field type="select" required="true" label="Roommate Sleep Profile (Select ALL That Apply)" name="select-1784690438663" multiple="multiple" className="form-control"> <option label="Light Sleeper" value="light-sleeper">Light Sleeper</option> <option label="Heavy Sleeper" value="heavy-sleeper">Heavy Sleeper</option> <option label="Snorer" value="snorer">Snorer</option> <option label="CPAP User" value="cpap-user">CPAP User</option> <option label="Cold Room Sleeper" value="cold-room-sleeper">Cold Room Sleeper</option> <option label="Hot Room Sleeper" value="hot-room-sleeper">Hot Room Sleeper</option> <option label="I am open to any" value="i-am-open-to-any">I am open to any</option> </field> <field type="radio-group" required="true" label="Preferred Stateroom Feel" description="The Quiet Sanctuary: The cabin is strictly for sleeping resting and decompressing. Low noise, no extra guests, and lights out at bedtime. Relaxed Environment: Casual and easygoing. Fine with music and chatting while getting ready for dancing, but quiet hours are respected once it is time to sleep. The Social Hub: The room is an extension of the event! Friends stopping by, late-night chats, pre-dancing drinks, and a lively atmosphere are all welcome." name="radio-group-1784690577660"> <option label="A Quiet Sanctuary" value="a-quiet-sanctuary">A Quiet Sanctuary</option> <option label="Relaxed Environment" value="relaxed-environment">Relaxed Environment</option> <option label="Party Central" value="party-central">Party Central</option> <option label="Fully Flexible" value="fully-flexible">Fully Flexible</option> </field> <field type="radio-group" required="true" label="Smoking &amp; Vaping&nbsp;" name="radio-group-1784692730918"> <option label="No, I do not smoke and/or vape" value="no-i-do-not-smoke-andor-vape">No, I do not smoke and/or vape</option> <option label="Yes, I do smoke and/or vape" value="yes-i-do-smoke-andor-vape">Yes, I do smoke and/or vape</option> </field> <field type="paragraph" subtype="p" label="(Note: Celebrity Cruises strictly prohibits smoking or vaping indoors or on stateroom balconies.)"/> <field type="radio-group" required="true" label="Roommate Smoking &amp; Vaping Preference" name="radio-group-1784692992845"> <option label="I require a roommate who does NOT smoke or vape." value="i-require-a-roommate-who-does-not-smoke-or-vape">I require a roommate who does NOT smoke or vape.</option> <option label="I prefer a roommate who DOES smoke or vape." value="i-prefer-a-roommate-who-does-smoke-or-vape">I prefer a roommate who DOES smoke or vape.</option> <option label="I have no preference / I do not care either way." value="i-have-no-preference-i-do-not-care-either-way">I have no preference / I do not care either way.</option> </field> <field type="paragraph" subtype="p" label="(Note: Celebrity Cruises strictly prohibits smoking or vaping indoors or on stateroom balconies.)"/> <field type="radio-group" required="true" label="Mobility and Wheelchair Accessibility" description="Do you require a fully wheelchair accessible stateroom" name="radio-group-1784690847351"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="paragraph" subtype="p" label="Please note that fully accessible cabins are subject to availability and may impact our ability to match you with a roommate. We will contact you directly to discuss options if you select Yes."/> <field type="radio-group" required="true" label="Will you be using a CPAP machine or other medical equipment that requires continuous power near the bed?&nbsp;" name="radio-group-1784691025881"> <option label="Yes (I will need an extension cord and/or distilled water)" value="yes-i-will-need-an-extension-cord-andor-distilled-water">Yes (I will need an extension cord and/or distilled water)</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Do you have any severe allergies (e.g., synthetic fragrances, specific foods) or other medical conditions your roommate and the organizers should be aware of for your safety?" description="If you require a sharps container for medication or travel with a licensed service animal please list that here. If none please type "N/A"." name="text-1784691271193" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="&nbsp;&nbsp;"/> <field type="header" subtype="h3" label="Matchmaking and Next Steps"/> <field type="radio-group" required="true" label="If we need to prioritize your matching criteria, what is your absolute biggest dealbreaker?&nbsp;" name="radio-group-1784691877601"> <option label="Stateroom Budget" value="stateroom-budget">Stateroom Budget</option> <option label="Age Preference" value="age-preference">Age Preference</option> <option label="Sex Preference" value="sex-preference">Sex Preference</option> <option label="Sleep Habits" value="sleep-habits">Sleep Habits</option> <option label="Noise Level" value="noise-level">Noise Level</option> <option label="Stateroom Vibe" value="stateroom-vibe">Stateroom Vibe</option> <option label="Smoking & Vaping Preference" value="smoking-vaping-preference">Smoking & Vaping Preference</option> </field> <field type="textarea" label="Additional Roommate Matching Preferences &amp; Information" description=""Please list any other pertinent information you think we need to know to match you with the best possible roommate."" name="textarea-1784693875911" className="form-control"/> <field type="radio-group" required="true" label="Do we have your consent to introduce?" description="If a potential roommate match is found do you consent to having your name and email address shared with them so you can connect before finalizing your booking?" name="radio-group-1784692062191"> <option label="Ye, I Consent" value="ye-i-consent">Ye, I Consent</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Introduction Method Preference" name="radio-group-1784692139853"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> <option label="Either" value="either">Either</option> </field> <field type="radio-group" required="true" label="Timeline Acknowledgment&nbsp;" description="I understand that once a roommate match is confirmed both parties will have 48 hours to submit their event pass payments and cruise deposits to secure the cabin." name="radio-group-1784692243274"> <option label="I understand and agree." value="i-understand-and-agree">I understand and agree.</option> <option label="I do not agree" value="i-do-not-agree">I do not agree</option> </field> </fields> </form-template> </body> </html>
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