Share your information with Lenna Hernandez

Lenna Hernandez

Magical Enchanted Vacations with Lenna

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Disneyland Quote Form"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for taking the time to fill out this form. Please fill it out to the best of your ability and hit SUBMIT. As a reminder, this is for the Disneyland Resort in Anaheim, CA ONLY. I will be in touch with you within 24 - 48 hours (usually less) to start the planning process. As always, my services are complimentary to you! I look forward to working with you!!"/>&#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" subtype="email" required="true" label="Email" placeholder="example@example.com" name="email" className="form-control"/>&#13;
		<field type="text" subtype="tel" required="true" label="Phone Number" description="Please enter a valid phone number." name="phone-number" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Preferred contact method" name="preferred-contact-method">&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Phone call" value="phone-call">Phone call</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="IG/FB messenger" value="ig-fb-messenger">IG/FB messenger</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Check In Date" name="check-in-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Check Out Date" name="check-out-date" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adults will be traveling?" name="num-adults" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children will be traveling?" name="num-children" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Ages of children at the time of travel" name="children-ages" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Active or Retired Military?" name="military-status">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What services are you needing? (Select all that apply)" name="services-needed">&#13;
			<option label="Vacation package (hotel &amp; theme park tickets)" value="vacation-package">Vacation package (hotel &amp; theme park tickets)</option>&#13;
			<option label="Hotel only" value="hotel-only">Hotel only</option>&#13;
			<option label="Theme park tickets only" value="tickets-only">Theme park tickets only</option>&#13;
			<option label="Rental car/Transportation" value="transportation">Rental car/Transportation</option>&#13;
			<option label="Scooter/Stroller Rental" value="scooter-stroller">Scooter/Stroller Rental</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Please select any of the special events/Magical Extras you may be interested in. Please note, these are separate ticketed events and require payment at time of booking:"/>&#13;
		<field type="checkbox-group" name="special-events-magical-extras">&#13;
			<option label="VIP Tour" value="vip-tour">VIP Tour</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your estimated budget?" name="estimated-budget" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="If you&#39;re needing a hotel, do you want to stay on property?" name="hotel-on-property">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Not sure" value="not-sure">Not sure</option>&#13;
		</field>&#13;
		<field type="text" label="If you need multiple rooms, how would you like the rooms split up? (Example: room 1 - 2 adults 2 kids (4,5); room 2 - 2 adults; etc.)" name="room-split-details" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you interested in adding travels insurance to your vacation package?" name="travel-insurance">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Would like to discuss options" value="would-like-to-discuss">Would like to discuss options</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Tickets Section ⬇"/>&#13;
		<field type="radio-group" required="true" label="What type of theme park tickets are you wanting?" name="ticket-type">&#13;
			<option label="1 park per day" value="1-park-per-day">1 park per day</option>&#13;
			<option label="Park hopper" value="park-hopper">Park hopper</option>&#13;
			<option label="Special Event/After hours party" value="special-event-after-hours">Special Event/After hours party</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many days in the parks are you wanting?" name="num-park-days" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Would you like to skip the standby lines for an additional fee?" name="skip-standby-lines">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Celebrating anything special?" name="celebration-details" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Have you already booked any portion of your vacation?" name="already-booked">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="Anything else I need to know to help plan your magical trip?" name="additional-notes" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="How did you hear about me?"/>&#13;
		<field type="checkbox-group" name="how-did-you-hear-about-me" other="true">&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Ad" value="ad">Ad</option>&#13;
			<option label="Family/friend referral" value="family-friend">Family/friend referral</option>&#13;
			<option label="Tik tok" value="tiktok">Tik tok</option>&#13;
		</field>&#13;
		<field type="text" label="If someone refered you to me, please list their name here so I can thank them!" name="referral-name" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>