<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="Please take a moment to provide us with more details about yourself. This will help us determine if you would be a suitable participant for our upcoming trip to London."/> <field type="header" subtype="h2" label="Full name"/> <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 type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Additional Contact Info"/> <field type="text" label="Job title" name="job-title" subtype="text" className="form-control"/> <field type="text" label="Social Media Profile" name="instagram-profile" subtype="text" className="form-control"/> <field type="select" required="true" label="Do you currently hold a valid U.S. Passport" name="do-you-currently-hold-a-valid-us-passport" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Are you over 21 years of age?" name="are-you-over-21-years-of-age" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Would you be ok with us running a background check on you for safety purposes?" name="would-you-be-ok-with-us-running-a-background-check-on-you-for-safety-purposes" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Do you have any physical ailments or disabilities we should be aware of?" description="Please list below." name="do-you-have-any-physical-ailments-or-disabilities-we-should-be-aware-of" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Getting to Know You"/> <field type="select" required="true" label="Have you traveled outside the United States?" name="have-you-traveled-outside-the-united-states" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Do you have any allergies or dietary restrictions?" description="Please list below." name="do-you-have-any-allergies-or-dietary-restrictions" subtype="text" className="form-control"/> <field type="select" required="true" label="Have you ever booked a tea with Pretty Lovely Teas?" name="have-you-ever-booked-a-tea-with-pretty-lovely-teas" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Have you ever been to London?" name="have-you-ever-been-to-london" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Will you be attending the trip alone or with a friend/family member?" name="will-you-be-attending-the-trip-alone-or-with-a-friendfamily-member" subtype="text" className="form-control"/> <field type="select" required="true" label="Are you ok with public transportation such as trains and buses?" name="are-you-ok-with-public-transportation-such-as-trains-and-buses" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Do you drink tea?" name="do-you-drink-tea" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Are you curious about British Culture?" name="are-you-curious-about-british-culture" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Are you ok with lots of walking...exploring London by foot is a dream!" name="are-you-ok-with-lots-of-walkingexploring-london-by-foot-is-a-dream" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Do you enjoy a glass of champagne or cocktails occasionally?" name="do-you-enjoy-a-glass-of-champagne-or-cocktails-occasionally" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" required="true" label="What excites you most about this afternoon tea experience in London?" name="what-excites-you-most-about-this-afternoon-tea-experience-in-london" className="form-control"/> <field type="textarea" required="true" label="Have you attended similar events before? What did you enjoy the most about them?&nbsp;" name="have-you-attended-similar-events-before-what-did-you-enjoy-the-most-about-them-" className="form-control"/> <field type="textarea" required="true" label="How do you usually interact with new people in a group setting?" name="how-do-you-usually-interact-with-new-people-in-a-group-setting" className="form-control"/> <field type="textarea" required="true" label="How do you contribute to creating a positive atmosphere in group activities?" name="how-do-you-contribute-to-creating-a-positive-atmosphere-in-group-activities" className="form-control"/> <field type="textarea" required="true" label="What is one new experience you would love to try in London?" name="what-is-one-new-experience-you-would-love-to-try-in-london" className="form-control"/> <field type="paragraph" subtype="p" label="Please know that submitting an application does not guarantee you a spot on this trip.&nbsp; We will look through applications and get back to you with more details as soon as possible.&nbsp;"/> </fields> </form-template> </body> </html>
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