Share your information with Molly McCann

Molly McCann

Travel With The Magic

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="date" required="true" label="Today&#39;s Date" name="todays-date" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Your name"/>&#13;
		<field type="text" required="true" label="Your name&amp;nbsp;" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="date" label="Ideal Check In Date?" description="This just gives me a general idea of when you like to go; it can be changed later. It is strongly encouraged it be a minimum of 4 Full Days" name="starting-at" className="form-control"/>&#13;
		<field type="date" label="Ideal Check Out Date?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Number of Adults" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of children" name="text-1767711628187" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="AGES of children AT TIME OF TRAVEL" name="text-1767711667202" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like me to know about your trip?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Does anyone in the room have the following?" name="seat-preference">&#13;
			<option label="Chase Disney Visa" value="chase-disney-visa">Chase Disney Visa</option>&#13;
			<option label="Disney+ Subscription" value="disney-subscription">Disney+ Subscription</option>&#13;
			<option label="None of the Above" value="none-of-the-above">None of the Above</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>