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Taylor Parsons

Travelmation

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Traveler Info"/>&#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" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-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="Have you ever been to Walt Disney World in Florida before? If so, how long ago?" name="have-you-ever-been-to-walt-disney-world-in-florida-before-if-so-how-long-ago" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adults(18+) will be traveling, including yourself?" name="how-many-adults18-will-be-traveling-including-yourself" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="How many children are traveling with you?&amp;nbsp; What are their birthdates, and ages at the time of travel?&amp;nbsp; If none, type N/A." placeholder="Please provide full names &amp;amp; birthdates!" name="all-traveler-info" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="return-date" className="form-control"/>&#13;
		<field type="radio-group" label="Are your travel dates flexible?" name="are-your-travel-dates-flexible" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Is this vacation a celebration?" name="is-this-vacation-a-celebration" other="true">&#13;
			<option label="Disney first-timers" value="disney-firsttimers">Disney first-timers</option>&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="In desperate need of some fun &amp; sun!" value="in-desperate-need-of-some-fun-sun">In desperate need of some fun &amp; sun!</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Does anyone in your traveling party require specific accomodations?" name="does-anyone-in-your-traveling-party-require-specific-accomodations" other="true">&#13;
			<option label="Autistic Individual" value="autistic-individual">Autistic Individual</option>&#13;
			<option label="Pet Friendly" value="pet-friendly">Pet Friendly</option>&#13;
			<option label="Accessible Room Preferred" value="accessible-room-preferred">Accessible Room Preferred</option>&#13;
			<option label="Dining Allergies" value="dining-allergies">Dining Allergies</option>&#13;
			<option label="Other Health Concerns" value="other-health-concerns">Other Health Concerns</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Disney Information"/>&#13;
		<field type="select" label="How soon are you looking to book?&amp;nbsp;" name="how-soon-are-you-looking-to-book-" className="form-control">&#13;
			<option label="Today " value="today-">Today </option>&#13;
			<option label="Within the next 7-10 days" value="within-the-next-710-days">Within the next 7-10 days</option>&#13;
			<option label="In a few months" value="in-a-few-months">In a few months</option>&#13;
			<option label="Just Considering Options" value="just-considering-options">Just Considering Options</option>&#13;
		</field>&#13;
		<field type="select" label="Ticket Options" name="ticket-options" className="form-control">&#13;
			<option label="Base Ticket (1 park per day)" value="base-ticket-1-park-per-day">Base Ticket (1 park per day)</option>&#13;
			<option label="Park Hopper (can &quot;hop&quot; from one park to another)" value="park-hopper-can-hop-from-one-park-to-another">Park Hopper (can "hop" from one park to another)</option>&#13;
			<option label="Park Hopper Plus (includes water parks)" value="park-hopper-plus-includes-water-parks">Park Hopper Plus (includes water parks)</option>&#13;
			<option label="I would like more information" value="i-would-like-more-information">I would like more information</option>&#13;
		</field>&#13;
		<field type="text" label="How many days would like tickets to the park?" placeholder="Ex: 3 park days" name="how-many-days-would-like-tickets-to-the-park" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Which parks would you like to visit?&amp;nbsp;" name="which-parks-would-you-like-to-visit">&#13;
			<option label="Magic Kingdom" value="magic-kingdom">Magic Kingdom</option>&#13;
			<option label="Hollywood Studios" value="hollywood-studios">Hollywood Studios</option>&#13;
			<option label="EPCOT" value="epcot">EPCOT</option>&#13;
			<option label="Animal Kingdom" value="animal-kingdom">Animal Kingdom</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Preferred Disney Resort Category? Check all that apply. If you have a resort that you have in mind, or have always dreamed of staying at, let me know! :)" name="preferred-disney-resort-category-check-all-that-apply-if-you-have-a-resort-that-you-have-in-mind-or-have-always-dreamed-of-staying-at-let-me-know-" other="true">&#13;
			<option label="Value (All-Stars, Pop Century, Art of Animation)" value="value-allstars-pop-century-art-of-animation">Value (All-Stars, Pop Century, Art of Animation)</option>&#13;
			<option label="Moderate (Port Orleans - French Quarter &amp; Riverside, Caribbean Beach, Coronado Springs, Fort Wilderness Cabins)" value="moderate-port-orleans-french-quarter-riverside-caribbean-beach-coronado-springs-fort-wilderness-cabins">Moderate (Port Orleans - French Quarter &amp; Riverside, Caribbean Beach, Coronado Springs, Fort Wilderness Cabins)</option>&#13;
			<option label="Deluxe (Wilderness Lodge, Polynesian Village, Contemporary, Grand Floridian, Riviera,  Yacht Club, Beach Club, Boardwalk, Animal Kingdom Lodge, Saratoga Springs, Old Key West)" value="deluxe-wilderness-lodge-polynesian-village-contemporary-grand-floridian-riviera-yacht-club-beach-club-boardwalk-animal-kingdom-lodge-saratoga-springs-old-key-west">Deluxe (Wilderness Lodge, Polynesian Village, Contemporary, Grand Floridian, Riviera,  Yacht Club, Beach Club, Boardwalk, Animal Kingdom Lodge, Saratoga Springs, Old Key West)</option>&#13;
			<option label="Monorail Resort (Polynesian Village, Contemporary, Grand Floridian)" value="monorail-resort-polynesian-village-contemporary-grand-floridian">Monorail Resort (Polynesian Village, Contemporary, Grand Floridian)</option>&#13;
			<option label="Skyliner Resort (Pop Century, Art of Animation, Caribbean Beach, Riviera)" value="skyliner-resort-pop-century-art-of-animation-caribbean-beach-riviera">Skyliner Resort (Pop Century, Art of Animation, Caribbean Beach, Riviera)</option>&#13;
			<option label="Good Neighbor Hotel (Disney trusted hotel partner)" value="good-neighbor-hotel-disney-trusted-hotel-partner">Good Neighbor Hotel (Disney trusted hotel partner)</option>&#13;
			<option label="Dream Resort (please specify in the &quot;other&quot; option)" value="dream-resort-please-specify-in-the-other-option">Dream Resort (please specify in the "other" option)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you like to add on one of the Dining Plans?" name="would-you-like-to-add-on-one-of-the-dining-plans">&#13;
			<option label="Yes, the Disney Quick-Service dining plan " value="yes-the-disney-quickservice-dining-plan-">Yes, the Disney Quick-Service dining plan </option>&#13;
			<option label="Yes, the Disney Dining Plan (includes Quick Service &amp; Table Service)" value="yes-the-disney-dining-plan-includes-quick-service-table-service">Yes, the Disney Dining Plan (includes Quick Service &amp; Table Service)</option>&#13;
			<option label="I need more information" value="i-need-more-information">I need more information</option>&#13;
			<option label="No thank you! " value="no-thank-you-">No thank you! </option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you like Memory Maker? This is the inclusion of all photos &amp;amp; videos taken on select attractions or by Disney Photographers in the parks as well as magic shots." description="We can always add this later!" name="would-you-like-memory-maker-this-is-the-inclusion-of-all-photos-videos-taken-on-select-attractions-or-by-disney-photographers-in-the-parks-as-well-as-magic-shots">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Unsure" value="unsure">Unsure</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Preferred Budget" name="preferred-budget">&#13;
			<option label="Under $3,000" value="under-3000">Under $3,000</option>&#13;
			<option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option>&#13;
			<option label="$5,000 - $7,000" value="5000-7000">$5,000 - $7,000</option>&#13;
			<option label="$7,000 - $9,000" value="7000-9000">$7,000 - $9,000</option>&#13;
			<option label="$10,000 +" value="10000-">$10,000 +</option>&#13;
		</field>&#13;
		<field type="textarea" label="Is there any further information that would help us plan your dream vacation?&amp;nbsp; Specific characters you and your family are dying to see?&amp;nbsp; Any concerns that I should know about?" name="textarea-1704573107485" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
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