Share your information with Sarah Estrella

Sarah Estrella

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	<fields>&#13;
		<field type="header" subtype="h1" label="Let&#39;s Plan Your Vacation!"/>&#13;
		<field type="paragraph" subtype="p" label="I&#39;m thrilled to help you plan your vacation! Let’s dive in together! I’d love to hear a bit about you and your family, as well as what kind of adventures you’re hoping to have. That way, I can share the best suggestions and make sure you have an amazing trip!"/>&#13;
		<field type="text" required="true" label="First name" 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" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="How would you like to communicate?" name="checkbox-group-1762267989846">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
			<option label="Text Message" value="text-message">Text Message</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Where would you like to go?" name="checkbox-group-1762267996428">&#13;
			<option label="Walt Disney World" value="walt-disney-world">Walt Disney World</option>&#13;
			<option label="Disneyland in California" value="disneyland-in-california">Disneyland in California</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Royal Caribbean Cruise" value="royal-caribbean-cruise">Royal Caribbean Cruise</option>&#13;
			<option label="Universal Orlando Resort" value="universal-orlando-resort">Universal Orlando Resort</option>&#13;
			<option label="Universal Studios Hollywood" value="universal-studios-hollywood">Universal Studios Hollywood</option>&#13;
			<option label="Aulani" value="aulani">Aulani</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="When would you like to depart?" name="when-would-you-like-to-depart" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" name="when-would-you-like-to-return" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many adults (18 and over) are in your party?" name="how-many-adults-18-and-over-are-in-your-party" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What are the adult&#39;s names?" name="what-are-the-adults-names" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children (0-17 years) are in your party?" name="how-many-children-017-years-are-in-your-party" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If you have children in your party, please list all of their names and their ages (at time of travel) below." name="if-you-have-children-in-your-party-please-list-all-of-their-names-and-their-ages-at-time-of-travel-below" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Let&#39;s talk budget. This is just a guess on what you want to spend. I will work with you to make sure we plan the trip you want around your ideal budget. Once we start working together, having this info gives us a good starting point." name="lets-talk-budget-this-is-just-a-guess-on-what-you-want-to-spend-i-will-work-with-you-to-make-sure-we-plan-the-trip-you-want-around-your-ideal-budget-once-we-start-working-together-having-this-info-gives-us-a-good-starting-point">&#13;
			<option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-to-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-to-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-to-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-to-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="There are special discounts for certain groups. Are you any of the following? Choose all that apply:" name="there-are-special-discounts-for-certain-groups-are-you-any-of-the-following-choose-all-that-apply">&#13;
			<option label="Active, Retired or 100% Disabled Military" value="active-retired-or-100-disabled-military">Active, Retired or 100% Disabled Military</option>&#13;
			<option label="Disney Chase Visa Cardholder" value="disney-chase-visa-cardholder">Disney Chase Visa Cardholder</option>&#13;
			<option label="Florida Resident (Walt Disney World)" value="florida-resident-walt-disney-world">Florida Resident (Walt Disney World)</option>&#13;
			<option label="Annual Passholder (WDW)" value="annual-passholder-wdw">Annual Passholder (WDW)</option>&#13;
			<option label="California Resident (Disneyland)" value="california-resident-disneyland">California Resident (Disneyland)</option>&#13;
			<option label="Active Disney+ Subscription" value="active-disney-subscription">Active Disney+ Subscription</option>&#13;
			<option label="Canadian Resident" value="canadian-resident">Canadian Resident</option>&#13;
			<option label="None" value="none">None</option>&#13;
		</field>&#13;
		<field type="text" label="What else would you like me to know? Are you celebrating anything special?" name="what-else-would-you-like-me-to-know-are-you-celebrating-anything-special" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
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