Share your information with Alyshia Steele

Alyshia Steele

Lyric's Destinations Travel Group

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	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h3" label="ALASKA 2027 LDTG INSIDERS GROUP CRUISE REGISTRATION &amp;nbsp; &amp;nbsp; - Virgin Voyages | Brilliant Lady | Seattle → Vancouver | 8 Nights &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp;&amp;nbsp;"/>&#13;
		<field type="header" subtype="h1" label="SECTION 2: LDTG INSIDERS VERIFICATION (Required for priority access, reduced deposit &amp;amp; onboard credit)"/>&#13;
		<field type="radio-group" required="true" label="Are you an LDTG Insider?" description="Copy website link to join:https://lyricsdestinations.com/membership/" name="radio-group-1767206123906">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Not Sure" value="not-sure">Not Sure</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="SECTION 3: TRIP SELECTION &amp;amp; GROUP INTEREST"/>&#13;
		<field type="radio-group" required="true" label="How many people will be in your cabin (including you)?" name="radio-group-1767206238712">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="SECTION 4: CABIN PREFERENCES"/>&#13;
		<field type="select" required="true" label="Preferred cabin type(s) (select all that apply):" name="select-1767207271876" multiple="multiple" className="form-control">&#13;
			<option label="Inside " value="inside-">Inside </option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Sea Terrace (Balcony)" value="sea-terrace-balcony">Sea Terrace (Balcony)</option>&#13;
			<option label="Rock Star Suite " value="rock-star-suite-">Rock Star Suite </option>&#13;
			<option label="Mega Rock Star Suite " value="mega-rock-star-suite-">Mega Rock Star Suite </option>&#13;
			<option label="Unknown: Need Guidance " value="unknown-need-guidance-">Unknown: Need Guidance </option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="SECTION 5: CABIN OCCUPANT DETAILS"/>&#13;
		<field type="textarea" required="true" label="Provide : Guest 1 (Primary Guest)- (1) Full Legal Name (2) DOB (3)&amp;nbsp;" name="textarea-1767206885261" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Provide : Guest 2 (Cabin Mate)- (1) Full Legal Name (2) DOB (3) Email Address (4) Cell Phone Number&amp;nbsp;" description="IF APPLICABLE : Place NA if solo cabin" name="textarea-1767206957621" className="form-control"/>&#13;
		<field type="textarea" label="Provide : Guest 3 (Cabin Mate)- (1) Full Legal Name (2) DOB (3) Email Address (4) Cell Phone Number&amp;nbsp;" description="IF APPLICABLE" name="textarea-1767207001233" className="form-control"/>&#13;
		<field type="textarea" label="Provide : Guest 4 (Cabin Mate)- (1) Full Legal Name (2) DOB (3) Email Address (4) Cell Phone Number&amp;nbsp;" description="IF APPLICABLE" name="textarea-1767207074517" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="SECTION 6: PASSPORT &amp;amp; ELIGIBILITY"/>&#13;
		<field type="checkbox-group" required="true" label="Do all guests currently have a valid passport?" name="checkbox-group-1767207176936">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="In Process" value="in-process">In Process</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="SECTION 7: FLIGHTS &amp;amp; PRE/POST CRUISE PLANNING"/>&#13;
		<field type="checkbox-group" required="true" label="Anticipated departure airport for flights to Seattle: Will you need assistance booking flights?" name="checkbox-group-1767207421205">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are you interested in:" name="checkbox-group-1767207490908">&#13;
			<option label="Pre-cruise hotel in Seattle- HIGHLY RECOMMEND AT LEAST ONE NIGHT" value="precruise-hotel-in-seattle-highly-recommend-at-least-one-night">Pre-cruise hotel in Seattle- HIGHLY RECOMMEND AT LEAST ONE NIGHT</option>&#13;
			<option label="Post-cruise hotel in Vancouver" value="postcruise-hotel-in-vancouver">Post-cruise hotel in Vancouver</option>&#13;
			<option label="Both" value="both">Both</option>&#13;
			<option label="Neither" value="neither">Neither</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="SECTION 8: DIETARY RESTRICTIONS &amp;amp; ALLERGIES"/>&#13;
		<field type="checkbox-group" required="true" label="Does anyone in your cabin have dietary restrictions or food allergies?" name="checkbox-group-1767207581452">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="If yes, list dietary needs by guest name:" description="(Examples: vegan  gluten-free  shellfish allergy, nut allergy)" name="textarea-1767207614153" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="SECTION 9: MOBILITY &amp;amp; ACCESSIBILITY NEEDS"/>&#13;
		<field type="checkbox-group" required="true" label="Does anyone in your cabin require accessibility accommodations or have mobility concerns" name="checkbox-group-1767207693483">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="If yes, please specify by guest name:" name="checkbox-group-1767207729898" other="true">&#13;
			<option label="Difficulty walking long distances" value="difficulty-walking-long-distances">Difficulty walking long distances</option>&#13;
			<option label="Uses mobility aid (cane, walker, wheelchair)" value="uses-mobility-aid-cane-walker-wheelchair">Uses mobility aid (cane, walker, wheelchair)</option>&#13;
			<option label="Needs step-free access" value="needs-stepfree-access">Needs step-free access</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="SECTION 10: EXPERIENCE ALIGNMENT"/>&#13;
		<field type="select" required="true" label="What excites you most about this Alaska voyage? Choose ALL that apply" name="select-1767207889200" multiple="multiple" className="form-control">&#13;
			<option label="Scenic cruising &amp; glaciers" value="scenic-cruising-glaciers">Scenic cruising &amp; glaciers</option>&#13;
			<option label=" Alaska ports &amp; culture" value="-alaska-ports-culture"> Alaska ports &amp; culture</option>&#13;
			<option label="Adults-only Virgin Voyages experience" value="adultsonly-virgin-voyages-experience">Adults-only Virgin Voyages experience</option>&#13;
			<option label="Seattle + Canada combination" value="seattle-canada-combination">Seattle + Canada combination</option>&#13;
			<option label="Group travel with LDTG" value="group-travel-with-ldtg">Group travel with LDTG</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="SECTION 11: OPEN COMMENTS"/>&#13;
		<field type="text" label="Is there anything you’d like us to know as we curate this experience for you?" name="text-1767208000223" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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☐ I understand this form registers my interest and does not confirm my booking.
☐ I acknowledge pricing and availability are subject to change until a deposit is applied.
☐ I confirm all information provided is accurate and matches government-issued identification.

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