<form-template>
	<fields>
		<field type="paragraph" subtype="p" label="Thank you for your interest in our trip!&amp;nbsp; Please submit the following form to receive a final quote and to&amp;nbsp; start planning your wonderful week in paradise!&amp;nbsp;&amp;nbsp;"/>
		<field type="header" subtype="h2" label="Full name"/>
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>
		<field type="text" label="Middle name" name="middle-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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="text" required="true" label="How many rooms will you need and how many people will be staying in each room?&amp;nbsp; &amp;nbsp;&amp;nbsp;" name="how-many-people-will-be-traveling-with-you-please-provide-ages-if-children-are-traveling" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Please list the names and birthdates of each family member staying together in the room.&amp;nbsp; Names must appear exactly as represented on passports.&amp;nbsp;&amp;nbsp;" name="please-list-the-names-and-birthdates-of-each-family-member-staying-together-in-the-room-names-must-appear-exactly-as-represented-on-passports-" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="Which room category are you interested in?" name="which-package-are-you-interested-in">
			<option label="Luxury Junior Suite" value="luxury-junior-suite" selected="true">Luxury Junior Suite</option>
			<option label="Luxury Junior Suite Swim Out" value="luxury-junior-suite-swim-out">Luxury Junior Suite Swim Out</option>
			<option label="Luxury Family Suite Ocean View" value="luxury-family-suite-ocean-view">Luxury Family Suite Ocean View</option>
		</field>
		<field type="checkbox-group" required="true" label="Will you need airfare, or do you plan to book air on your own?&amp;nbsp;&amp;nbsp;" name="will-you-need-airfare-or-do-you-plan-to-book-air-on-your-own-">
			<option label="Yes, please add the air option to my final quote" value="yes-please-add-the-air-option-to-my-final-quote" selected="true">Yes, please add the air option to my final quote</option>
			<option label="I will be booking air on my own.  " value="i-will-be-booking-air-on-my-own-">I will be booking air on my own.  </option>
		</field>
		<field type="text" label="Please provide us with any additional details regarding your trip including disabilities,&amp;nbsp; food allergies, special requests,&amp;nbsp; or other information that we should be made aware of." name="additional-details-" subtype="text" className="form-control"/>
		<field type="paragraph" subtype="p" label="Please check your email shortly for a detailed itinerary and final quote for your trip.&amp;nbsp; Within the quote, we will provide you with full booking instructions, an insurance quote,&amp;nbsp; and final payment dates.&amp;nbsp; &amp;nbsp;&amp;nbsp;"/>
	</fields>
</form-template>