Share your information with Kelly Hawley

Kelly Hawley

Faith, Trust & Pixie Dust Travel, LLC

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Universal Studios - Client Information&amp;nbsp;"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Address"/>&#13;
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" 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="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="Travel Dates" name="travel-dates" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" inline="true" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If yes, please explain." name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Legal Name and Date of Birth for all other guests" name="ages-of-children-at-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Do you need multiple rooms?&amp;nbsp; If so,&amp;nbsp; please indicate how many adult(s) and children (with birthdates) will be in each room.&amp;nbsp;&amp;nbsp;" name="number-of-rooms-needed-if-multiple-rooms-please-indicate-how-many-adults-and-children-will-be-in-each-room-" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Resort Type" name="resort-type">&#13;
			<option label="Prime Value" value="prime-value">Prime Value</option>&#13;
			<option label="Preferred" value="preferred">Preferred</option>&#13;
			<option label="Premier" value="premier">Premier</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have a preferred resort?" name="anything-you-absolutely-must-do-or-see" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Which parks would you like to visit" name="which-parks-would-you-like-to-visit">&#13;
			<option label="Universal Studios - Featuring The Wizarding World of Harry Potter" value="universal-studios-featuring-the-wizarding-world-of-harry-potter">Universal Studios - Featuring The Wizarding World of Harry Potter</option>&#13;
			<option label="Universal Islands of Adventure" value="universal-islands-of-adventure">Universal Islands of Adventure</option>&#13;
			<option label="Epic Universe" value="epic-universe">Epic Universe</option>&#13;
			<option label="Volcano Bay Water Park" value="volcano-bay-water-park">Volcano Bay Water Park</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Number of park days" name="number-of-park-days" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Skip the line add ons" name="skip-the-line-add-ons">&#13;
			<option label="Universal Express Pass - one time per participating ride" value="universal-express-pass-one-time-per-participating-ride">Universal Express Pass - one time per participating ride</option>&#13;
			<option label="Universal Express Pass Unlimited - unlimited number of times at participating rides" value="universal-express-pass-unlimited-unlimited-number-of-times-at-participating-rides">Universal Express Pass Unlimited - unlimited number of times at participating rides</option>&#13;
			<option label="Volcano Bay Express Pass - one time per participating ride" value="volcano-bay-express-pass-one-time-per-participating-ride">Volcano Bay Express Pass - one time per participating ride</option>&#13;
		</field>&#13;
		<field type="textarea" label="Any other information I should know?" name="any-other-information-i-should-know" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Insurance&amp;nbsp;"/>&#13;
		<field type="paragraph" subtype="p" label="Emergencies can happen when you least expect them. Faith, Trust &amp;amp; Pixie Dust Travel, LLC highly recommends that all clients purchase a travel insurance policy to protect your trip investment. Cruise lines, airlines, hotels, and tour operators all charge high penalties for cancellation, ranging from the full deposit to no refund at all. And keep in mind that most health insurance policies will not cover you when you are out of the country. Travel insurance can protect you in the event of Trip Cancellation, Trip Delay, Trip Interruption, Missed Connection, Baggage Loss, Theft or Damage, Baggage Delay, Emergency Medical and Dental Expenses, Emergency Medical Transportation, among other unforeseen circumstances. If you choose to decline this valuable protection, you are assuming any financial loss associated with your travel arrangements. By declining to purchase travel insurance you fully understand that your travel agent is not liable or responsible for any expenses incurred because of cancellation, trip interruption, emergency medical transportation, baggage and personal effects loss, flight, travel accident, etc. Please understand that we are not registered insurance agents and cannot legally provide specific advice or information regarding insurance. We will gladly secure a quote for you, upon request, and if Faith, Trust &amp;amp; Pixie Dust Travel, LLC does not, or is not legally able to secure coverage on your behalf, it is our strong recommendation that you purchase a policy on your own.&amp;nbsp;"/>&#13;
		<field type="radio-group" required="true" label="Click" name="click">&#13;
			<option label="I agree to add travel insurance" value="i-agree-to-add-travel-insurance">I agree to add travel insurance</option>&#13;
			<option label="I decline travel insurance " value="i-decline-travel-insurance-">I decline travel insurance </option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Trip Cancellation"/>&#13;
		<field type="paragraph" subtype="p" label="Faith, Trust &amp;amp; Pixie Dust Travel, LLC will administer a cancellation fee if a booking is canceled. The fee must be paid to Faith, Trust &amp;amp; Pixie Dust Travel, LLC before the trip is canceled with the supplier.&amp;nbsp;"/>&#13;
		<field type="checkbox-group" required="true" label="Agreement" name="agreement">&#13;
			<option label="I agree" value="i-agree">I agree</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
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