<form-template>
	<fields>
		<field type="header" subtype="h1" label="Planning Your Safari"/>
		<field type="paragraph" subtype="p" label="Knowing a bit more about you and your companions will help us offer options perfectly suited to what you have in mind for your trip to Africa.&amp;nbsp;&amp;nbsp;"/>
		<field type="header" subtype="h2" label="Contact Details &amp;amp; The Basics"/>
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>
		<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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="date" label="Date of Birth" name="birthday" className="form-control"/>
		<field type="text" required="true" label="Number of Travelers" name="number-of-travelers" subtype="text" className="form-control"/>
		<field type="text" required="true" label="If children traveling, what will be their ages at time of travel?" name="if-children-traveling-what-will-be-their-ages-at-time-of-travel" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Additional Travelers Contact Information"/>
		<field type="textarea" required="true" label="Please include full names, phone numbers and emails" name="please-include-full-names-phone-numbers-and-emails" subtype="textarea" className="form-control"/>
		<field type="radio-group" label="Level of fitness" name="level-of-fitness">
			<option label="Extremely fit" value="extremely-fit">Extremely fit</option>
			<option label="Good level of fitness" value="good-level-of-fitness">Good level of fitness</option>
			<option label="Moderately active" value="moderately-active">Moderately active</option>
			<option label="Don't exercise much" value="dont-exercise-much">Don't exercise much</option>
		</field>
		<field type="header" subtype="h1" label="Expectations &amp;amp; Interests"/>
		<field type="textarea" label="What do you envision when you think of traveling to Africa?" name="what-do-you-envision-when-you-think-of-traveling-to-africa" subtype="textarea" className="form-control"/>
		<field type="paragraph" subtype="p" label="At Cross Africa &amp;amp; Co. we take great pride in creating a unique itinerary for every individual trip. We ensure we put together exactly what you want out of your Safari to Africa. In order to do this... we need your help. This form will give us an idea of what experience you are looking for. We will then give you a call for a &quot;face-to-face&quot; meeting so that we can further refine Your safari. It is important that you get to meet a member of our team as soon as possible and establish a relationship with your travel consultant. They will be your point of contact for any questions you may have going forward."/>
		<field type="checkbox-group" required="true" label="Which Countries Are of Most Interest?" name="which-countries-are-of-most-interest" other="true">
			<option label="Zambia" value="zambia">Zambia</option>
			<option label="Zimbabwe" value="zimbabwe">Zimbabwe</option>
			<option label="Kenya" value="kenya">Kenya</option>
			<option label="Tanzania" value="tanzania">Tanzania</option>
			<option label="Botswana" value="botswana">Botswana</option>
			<option label="Namibia" value="namibia">Namibia</option>
			<option label="South Africa" value="south-africa">South Africa</option>
			<option label="Rwanda" value="rwanda">Rwanda</option>
			<option label="Ethiopia" value="ethiopia">Ethiopia</option>
			<option label="Uganda" value="uganda">Uganda</option>
			<option label="Mozambique" value="mozambique">Mozambique</option>
			<option label="Seychelles" value="seychelles">Seychelles</option>
			<option label="Mauritius" value="mauritius">Mauritius</option>
			<option label="Madagascar" value="madagascar">Madagascar</option>
		</field>
		<field type="checkbox-group" required="true" label="Any special interests or experiences your party would like to have?" name="any-special-interests-or-experiences-your-party-would-like-to-have" other="true">
			<option label="The Great Migration" value="the-great-migration">The Great Migration</option>
			<option label="The Big 5" value="the-big-5">The Big 5</option>
			<option label="Primates" value="primates">Primates</option>
			<option label="Marine Life &amp; Diving" value="marine-life-diving">Marine Life &amp; Diving</option>
			<option label="Canoeing &amp; Mkoros" value="canoeing-mkoros">Canoeing &amp; Mkoros</option>
			<option label="Walking Based Options" value="walking-based-options">Walking Based Options</option>
			<option label="Conservation Activities" value="conservation-activities">Conservation Activities</option>
			<option label="Local Culture Experiences" value="local-culture-experiences">Local Culture Experiences</option>
			<option label="Balloon Safaris" value="balloon-safaris">Balloon Safaris</option>
			<option label="Fishing" value="fishing">Fishing</option>
			<option label="Philanthropy Projects" value="philanthropy-projects">Philanthropy Projects</option>
			<option label="Wines &amp; Culinary" value="wines-culinary">Wines &amp; Culinary</option>
			<option label="Desert " value="desert-">Desert </option>
			<option label="Photography" value="photography">Photography</option>
			<option label="Horseback safaris" value="horseback-safaris">Horseback safaris</option>
			<option label="Yachting" value="yachting">Yachting</option>
			<option label="Mountain Biking" value="mountain-biking">Mountain Biking</option>
		</field>
		<field type="checkbox-group" label="Your Preferred Way to Travel?" name="your-preferred-way-to-travel">
			<option label="Whirlwind trip seeing as much possible regardless of transit times" value="whirlwind-trip-seeing-as-much-possible-regardless-of-transit-times">Whirlwind trip seeing as much possible regardless of transit times</option>
			<option label="Taking more time, 2-3 nights in each location and less time in transit" value="taking-more-time-23-nights-in-each-location-and-less-time-in-transit">Taking more time, 2-3 nights in each location and less time in transit</option>
			<option label="A happy medium seeing a variety of places with reasonable transits" value="a-happy-medium-seeing-a-variety-of-places-with-reasonable-transits">A happy medium seeing a variety of places with reasonable transits</option>
		</field>
		<field type="radio-group" required="true" label="Is your party interested in a 3 day add on trip post safari to any of the following destinations?" inline="true" name="is-your-party-interested-in-a-3-day-add-on-trip-post-safari-to-any-of-the-following-destinations" other="true">
			<option label="No" value="no" selected="true">No</option>
			<option label="Zanzibar" value="zanzibar">Zanzibar</option>
			<option label="Lamu Island" value="lamu-island">Lamu Island</option>
			<option label="Madagascar" value="madagascar">Madagascar</option>
			<option label="Mauritius" value="mauritius">Mauritius</option>
			<option label="Seychelles" value="seychelles">Seychelles</option>
			<option label="Mozambique" value="mozambique">Mozambique</option>
			<option label="Gorillas &amp; Primates" value="gorillas-primates">Gorillas &amp; Primates</option>
			<option label="Cape Town" value="cape-town">Cape Town</option>
		</field>
		<field type="header" subtype="h1" label="Deciding When to Go and For How Long"/>
		<field type="paragraph" subtype="p" label="&amp;nbsp;Each season&amp;nbsp; in Africa has its advantages and seasons vary by region. It is important to plan your trip far in advance of your travel dates. If you are planning to travel in the &quot;high season&quot;, and maximize the amount of game you see, then make your booking at least a year in advance. The high season occurs during the dry months when the vegetation is limited, and views are less obstructed when animals tend to congregate around the water sources. Of course the high season is the most popular, so prices at camps and lodges are at their highest and can be fully booked 12-18 months in advance."/>
		<field type="header" subtype="h1" label="Dates of Travel&amp;nbsp;"/>
		<field type="date" label="Departure Date" name="departure-date" className="form-control"/>
		<field type="date" label="Return Date" name="arrival-date" className="form-control"/>
		<field type="text" label="Departure country and city" name="departure-country-and-city" subtype="text" className="form-control"/>
		<field type="radio-group" label="Are your dates flexible?" name="are-your-dates-flexible">
			<option label="Yes" value="yes" selected="true">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="header" subtype="h1" label="Accommodation Preference"/>
		<field type="paragraph" subtype="p" label="There are a range of options to consider depending on your comfort level and style preference.&amp;nbsp; Tented or reed and thatched accommodations allow you to be close to nature, meaning the camp is un-fenced and wildlife can roam in and around camp.&amp;nbsp; Many love these options, but for those who prefer brick and mortar&amp;nbsp; cottages/lodges are also an option in most locales.&amp;nbsp; Kindly note that tented does not mean less expensive.&amp;nbsp; In fact, some of the most luxurious/ high end safari accommodations are tented with some having living room areas and large bathtubs.&amp;nbsp; There are three general types of tented accommodations:"/>
		<field type="paragraph" subtype="p" label="1)&amp;nbsp; Ground tents - These are typically used on mobile safaris, usually on a group type of trip where the tents are erected at a different site every 1 to 2 days.&amp;nbsp; These tents have en-suite eco bathrooms with toilets and showers, but are considered to be more on the rustic side for the budget or more adventurous traveler in mind.&amp;nbsp;&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="2) Seasonal Camps -&amp;nbsp; These accommodations are used in very remote locations, especially ones that are inaccessible during the rainy season.&amp;nbsp; They are semi permanent and have&amp;nbsp; en-suite bathrooms with showers and flushing toilets.&amp;nbsp; These accommodations are for the traveler who prefers rustic, but with a proper bed for comfortable sleeping.&amp;nbsp;&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="3) Semi permanent tents - These camps are built to last many seasons and can be quite luxurious, think of &quot;glamping&quot;.&amp;nbsp; They contain full en-suite bathrooms with electricity, flushing toilets and showers.&amp;nbsp; Everything looks permanent, but they're designed to be deconstructed and have minimal impact on the environment.&amp;nbsp; Note, these come in a variety of comfort and budget levels and we can provide options along with pictures of the camps to give you a better idea.&amp;nbsp;&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="4) Brick &amp;amp; mortar lodges - These are cottages, homes and lodges.&amp;nbsp; They put a bit of structure between you and the bush and tend to have amenities such as air conditioning, which can be nice at the end of a hot day.&amp;nbsp; These go from mid to high end; however, the semi permanent camps are the most luxurious and give the feel of a classic African Safari.&amp;nbsp;&amp;nbsp;"/>
		<field type="checkbox-group" required="true" label="Your Accommodation Preference" name="your-accommodation-preference" other="true">
			<option label="Mobile Ground Tents" value="mobile-ground-tents">Mobile Ground Tents</option>
			<option label="Seasonal tent camps with beds" value="seasonal-tent-camps-with-beds">Seasonal tent camps with beds</option>
			<option label="Semi permanent luxury tented camps" value="semi-permanent-luxury-tented-camps">Semi permanent luxury tented camps</option>
			<option label="Cottages, homes, lodges" value="cottages-homes-lodges">Cottages, homes, lodges</option>
			<option label="Other, such as a combination of the above" value="other-such-as-a-combination-of-the-above">Other, such as a combination of the above</option>
		</field>
		<field type="checkbox-group" required="true" label="How important is the food experience to you?" name="how-important-is-the-food-experience-to-you" other="true">
			<option label="Very important - we like to eat well every night and enjoy a well stocked bar" value="very-important-we-like-to-eat-well-every-night-and-enjoy-a-well-stocked-bar" selected="true">Very important - we like to eat well every night and enjoy a well stocked bar</option>
			<option label="Moderately important - a happy medium as long as the food is tasteful and healthy" value="moderately-important-a-happy-medium-as-long-as-the-food-is-tasteful-and-healthy">Moderately important - a happy medium as long as the food is tasteful and healthy</option>
			<option label="Not as important as the overall experience, but food is still safe and prepared hygienically" value="not-as-important-as-the-overall-experience-but-food-is-still-safe-and-prepared-hygienically">Not as important as the overall experience, but food is still safe and prepared hygienically</option>
		</field>
		<field type="radio-group" label="Bed preference" name="bed-preference">
			<option label="King" value="king">King</option>
			<option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option>
		</field>
		<field type="checkbox-group" label="The feel of the property preference" name="vibe-preference">
			<option label="Romantic" value="romantic">Romantic</option>
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>
			<option label="Local culture" value="local-culture">Local culture</option>
			<option label="Family friendly" value="family-friendly">Family friendly</option>
			<option label="Food and wine" value="food-wine">Food and wine</option>
			<option label="Multi-generational" value="multi-generational">Multi-generational</option>
			<option label="Adventure" value="adventure">Adventure</option>
			<option label="LGBT" value="lgbt">LGBT</option>
		</field>
		<field type="text" label="Please share any other additional thoughts on accommodation preferences" name="please-share-any-other-additional-thoughts-on-accommodation-preferences" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Budgeting &amp;amp; Costs"/>
		<field type="paragraph" subtype="p" label="This is one of the most important decisions to make when planning a sfari and key for us to make recommendations and design an itinerary that is appropriate for you.&amp;nbsp; Our passion is to help our clients get off the beaten path and go a little deeper to have an authentic and memorable experience.&amp;nbsp;&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="This means we focus on sending our clients to smaller, intimate camps, often in more remote parks and private concession areas.&amp;nbsp; The places we recommend tend to be a bit pricier than mainstream trips not because of the level of luxury, but rather because this affords our clients the benefit to get away from the mass tourism - to experience pristine wilderness, with the best guides.&amp;nbsp; Our clients have always said it is worth the investment.&amp;nbsp;&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="Some things to keep in mind:&amp;nbsp; Going on safari will probably be one of the most expensive trips you will ever take.&amp;nbsp; We recognize this, respect this and thus make every effort to work within your budget and provide you with the best value for your money.&amp;nbsp; As such, we've never heard anyone say it wasn't worth every penny!&amp;nbsp; In general, the more remote, private and game rich the areas, the pricier the safari.&amp;nbsp; Safari camps/lodges range from $450-$3000 per person per night.&amp;nbsp; Keep in mind the costs tend to be all inclusive - including meals, drinks, activities, park fees, etc...&amp;nbsp; Our philosophy is to invest in a great experience in the bush and, if needed, cut back in the urban/transit areas.&amp;nbsp;&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="On safari, luxury generally comes in the form of experiences rather than accommodation amenities.&amp;nbsp; Higher priced camps are often that way due to their prime locations and offferings such as having few people in a vehicle, highly qualified guides, quality vehicles and policies that don't limit the number of kilometers, etc...&amp;nbsp; These are the things that we believe (and our clients keep telling us) really make a trip special and unique.&amp;nbsp; This means that some of the more basic tented camps are some of the most expensive.&amp;nbsp; Often, the price is first related to the experience.&amp;nbsp; Of course, there are camps/lodges that do offer luxurious accommodations.&amp;nbsp; Some of these camps/lodges are less expensive than more basic camps as the focus is more on the accommodations than the experience.&amp;nbsp;&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="Traveling the Cross Africa &amp;amp; Co way usually focuses on the experience first and the accommodation second.&amp;nbsp; However, for those who enjoy their amenities, there are some wonderful camps/lodges that offer luxury both in terms of accommodation and experience.&amp;nbsp; Some people will save for years, knowing that going to Africa can be a trip of a lifetime.&amp;nbsp; As a result, they are tempted to fit too much into a short period of time and spend valuable time in transit from place to place.&amp;nbsp; Instead, we suggest that you focus on seeing and experiencing certain areas more in depth.&amp;nbsp; Then, consider a future visit to other areas of interest, which often happens.&amp;nbsp;&amp;nbsp;"/>
		<field type="header" subtype="h1" label="Other factors contributing to cost"/>
		<field type="paragraph" subtype="p" label="Countries and regions you visit, number of countries visited, high or low season, privacy and size of camps and lodges, remoteness, quality of guides and vehicles, amenities, choosing to travel by air or land to camps and lodges, length of trip"/>
		<field type="header" subtype="h1" label="Our Consulting Commitment&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="We are committed to recommending camps that offer the best value whether your price is mid range or high.&amp;nbsp; Also, unlike many operators and safari planners, we are completely independent and not beholden to a &quot;group&quot; of properties held by a company that focuses on turnover.&amp;nbsp; While cost will always vary depending on locations, season and accommodations, etc...&amp;nbsp; we will always make every effort to provide you with an outstanding itinerary while staying within your budget.&amp;nbsp; Furthermore, we have long standing relationships built with some of the most legendary ground handlers in Africa.&amp;nbsp; This&amp;nbsp; means you'll be met at the airport, have your transfers to your accommodations pre arranged and have access to our 24 hour number in Cape Town should anything come up that needs resolving.&amp;nbsp; We handle the details so you can simply enjoy your experience in Africa.&amp;nbsp;&amp;nbsp;"/>
		<field type="radio-group" required="true" label="Please indicate the per person price range, excluding international airfare" name="please-indicate-the-per-person-price-range-excluding-international-airfare-that-you-hope-to-stay-within-for-this-trip">
			<option label="$8000-$10000" value="800010000">$8000-$10000</option>
			<option label="$10000 - $12500" value="10000-12500">$10000 - $12500</option>
			<option label="$12500+" value="12500">$12500+</option>
		</field>
		<field type="textarea" label="Please include any additional thoughts here:" name="please-include-any-additional-thoughts-here" subtype="textarea" className="form-control"/>
		<field type="paragraph" subtype="p" label="Once we have received your form, we will reach out to you to schedule some time to talk about things in more detail. This will no doubt be one of the most exciting trips of your lifetime and we look forward to helping you realize this dream every step of the way.&amp;nbsp;Once we have had a face to face discussion, we will then start putting together your itinerary. At Cross Africa &amp;amp; Co. all of our consultants have first hand experience at guiding, photography and traveling through Africa. We will design your itinerary from scratch. Going on safari will probably be one of the most expensive trips you will ever take. We recognize this, respect this and thus make every effort to work within your budget and provide you with the best value for money. We guarantee you an exceptional, unique experience.&amp;nbsp;"/>
		<field type="text" label="If we may, who referred you to Cross Africa &amp;amp; Co so we can thank our friends.&amp;nbsp;&amp;nbsp;" name="if-we-may-who-referred-you-to-cross-africa-co-so-we-can-thank-our-friends-" subtype="text" className="form-control"/>
	</fields>
</form-template>