Share your information with Haley Yost

Haley Yost

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		<field type="header" subtype="h2" label="The Magic is in the Details&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="First name&amp;nbsp;" 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" 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="checkbox-group" label="Where would you like to go ?" toggle="true" name="checkbox-group-1791864146949">&#13;
			<option label="Disneyland " value="">Disneyland </option>&#13;
			<option label=" Disney World " value=""> Disney World </option>&#13;
			<option label="Aulani" value="">Aulani</option>&#13;
			<option label="Disney Cruise " value="">Disney Cruise </option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Let&#39;s find the perfect dates for your getaway!"/>&#13;
		<field type="date" required="true" label="Check in&amp;nbsp;" description="If you don&#39;t have exact dates  just select ballpark dates and give us more information below." name="start-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Check out" name="end-date" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your travel dates set or do you have some flexibility ?" toggle="true" inline="true" name="checkbox-group-1791862882681">&#13;
			<option label="Yes, I have some flexibility!" value="">Yes, I have some flexibility!</option>&#13;
			<option label="No, my dates are set!" value="">No, my dates are set!</option>&#13;
		</field>&#13;
		<field type="textarea" label="A little More About Your Travel Dates&amp;nbsp;" description="Have preferred weeks, weekdays, weekends, or dates you&#39;d like  to avoid ? share any extra details here As well as reservation requests." name="any-extra-details-about-your-dates-we-should-know" className="form-control"/>&#13;
		<field type="text" label="Do you have a favorite hotel you&#39;d like me to price out for you?" name="do-you-have-a-favorite-hotel-youd-like-us-to-quote-for-you" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="How many rooms do you need?" name="how-many-rooms-do-you-need">&#13;
			<option label="1 Room" value="1-room">1 Room</option>&#13;
			<option label="2 Rooms" value="2-rooms">2 Rooms</option>&#13;
			<option label="Family Suite (shared bathrooms and living space with more than the standard two beds)" value="family-suite-shared-bathrooms-and-living-space-with-more-than-the-standard-two-beds">Family Suite (shared bathrooms and living space with more than the standard two beds)</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have any &quot;musts&quot; on your lists? (Free breakfast, walking distance, on property, etc.)" name="do-you-have-any-musts-on-your-lists-free-breakfast-walking-distance-on-property-etc" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Adults" name="number-of-adults" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Children and their ages at time of travel&amp;nbsp;" description="If no children are traveling  write &quot;0&quot;" name="number-of-children-and-their-ages-at-time-of-travel-we-cannot-give-accurate-rates-without-ages" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="How many park days are you hoping for?" toggle="true" name="how-many-park-days-are-you-hoping-for">&#13;
			<option label="2 Days" value="2-days">2 Days</option>&#13;
			<option label="3 Days" value="3-days">3 Days</option>&#13;
			<option label="4 Days" value="4-days">4 Days</option>&#13;
			<option label="5 Days" value="5-days">5 Days</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are you wanting to purchase Park Hopper tickets or have access to just one park per day?" toggle="true" name="are-you-wanting-to-purchase-park-hopper-tickets-or-have-access-to-just-one-park-per-day">&#13;
			<option label="Yes, I want Park Hoppers" value="yes-i-want-park-hoppers">Yes, I want Park Hoppers</option>&#13;
			<option label="No, I don't want Park Hoppers" value="no-i-dont-want-park-hoppers">No, I don't want Park Hoppers</option>&#13;
			<option label="I'm open to advice/suggestions" value="im-open-to-advicesuggestions">I'm open to advice/suggestions</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Do you want Lightning Lane Multi Pass (Formerly Genie+) added to your tickets?" toggle="true" name="do-you-want-lightning-lane-multi-pass-formerly-genie-added-to-your-tickets">&#13;
			<option label="Yes, I want Lightning Lanes" value="yes-i-want-lightning-lanes">Yes, I want Lightning Lanes</option>&#13;
			<option label="No, I don't want Lightning Lanes" value="no-i-dont-want-lightning-lanes">No, I don't want Lightning Lanes</option>&#13;
			<option label="I'm open to suggestions" value="im-open-to-suggestions">I'm open to suggestions</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What is your approximate budget for your hotel + park tickets? For reference, Disneyland tickets range from $300-$800 per person, and hotels start at $200-$300 per night off property, and $350-$800 per night on property." toggle="true" name="checkbox-group-1767033727939" other="true">&#13;
			<option label="$1500-$2500" value="15002500">$1500-$2500</option>&#13;
			<option label="$2500-$3500" value="25003500">$2500-$3500</option>&#13;
			<option label="$3500-$4500" value="35004500">$3500-$4500</option>&#13;
			<option label="$4500-$5500" value="45005500">$4500-$5500</option>&#13;
			<option label="$5500-$8000" value="55008000">$5500-$8000</option>&#13;
			<option label="$8000+" value="8000">$8000+</option>&#13;
		</field>&#13;
		<field type="text" label="If you said &quot;other&quot; on your budget, please specify your needs below." name="what-is-your-approximate-budget-for-your-hotel-park-tickets-this-is-so-we-can-make-sure-to-give-you-a-quote-that-works-for-your-particular-situation-we-want-to-make-sure-you-get-the-most-for-your-money" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Are there any questions, concerns, or requests" description="Transportation concerns , stroller questions, disability or other accomodations." name="are-there-any-questions-concerns-or-requests-we-should-take-into-consideration-as-we-plan-your-visit-disability-access-stroller-questions-transportation-concerns-etc" className="form-control"/>&#13;
		<field type="text" required="true" label="Booking with me means the Same Disney magic,&amp;nbsp; &amp;amp; a little extra pixie dust ! Enjoy personalized planning, expert guidance, and dedicated support at no additional cost." name="where-did-you-hear-about-us" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Thank you for Choosing Charmed Vacay!" name="textarea-1791866152944" value="Your next magical adventure starts here! Thank you for trusting me with your vacation dreams. I can&#39;t wait to get to know your travel wishes and help turn all those little details into unforgettable memories." className="form-control"/>&#13;
	</fields>&#13;
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