<html> <body> <form-template xmlns="http://www.w3.org/1999/xhtml"> <fields> <field type="checkbox-group" required="true" label="Are you travelling as part of a group?" name="are-you-travelling-as-part-of-a-group" other="true"> <option label="No" value="no" selected="selected">No</option> </field> <field type="header" subtype="h2" label="Contact Information"/> <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" 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="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Important Dates"/> <field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/> <field type="date" label="Wedding anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h2" label="Passport Information"/> <field type="text" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/> <field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/> <field type="text" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" label="Date of issue" name="passport-date-of-issue" className="form-control"/> <field type="date" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="radio-group" required="true" label="Gender" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control"/> <field type="header" subtype="h1" label="COVID - 19"/> <field type="radio-group" required="true" label="Have you received the COVID-19 Vaccine?" name="have-you-received-the-covid19-vaccine"> <option label="Yes" value="yes">Yes</option> <option label="No " value="no">No </option> <option label="Prefer not to specify" value="prefer-not-to-specify">Prefer not to specify</option> </field> <field type="file" label="Vaccine card photo" name="vaccine_card_photo" subtype="file" className="form-control"/> <field type="header" subtype="h1" label="Other Personal Information"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs &amp;amp; Known Traveler Numbers" description="Please list any loyalty and TSA Pre/Global Entry programs you affiliated with and the corresponding number." name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="checkbox-group" required="true" label="Dietary Restrictions&amp;nbsp;" name="dietary-restrictions-" other="true"> <option label="None" value="none">None</option> <option label="Vegetarian" value="vegetarian">Vegetarian</option> <option label="Vegan" value="vegan">Vegan</option> <option label="Gluten Intolerant" value="gluten-intolerant">Gluten Intolerant</option> <option label="Diabetic" value="diabetic">Diabetic</option> <option label="Kosher" value="kosher">Kosher</option> <option label="Nut Allergy" value="nut-allergy">Nut Allergy</option> </field> <field type="text" label="Meal preference" name="meal-preference" subtype="text" className="form-control"/> <field type="text" label="Beverage Preferences" name="beverage-preferences" subtype="text" className="form-control"/> <field type="text" label="Special Requirements" description="(i.e. pregnancy wheelchair/Meet and Assist)" name="special-requirements" subtype="text" className="form-control"/> <field type="text" label="What is your height?" description="OPTIONAL: This information will be required to confirm helicopters and adventure activities like zip-lining skiing snowmobiling polar/arctic exploration etc." name="what-is-your-height" subtype="text" className="form-control"/> <field type="text" label="What is your weight?" description="OPTIONAL: This information will be required to confirm helicopters and adventure activities like zip-lining skiing snowmobiling polar/arctic exploration etc." name="what-is-your-weight" subtype="text" className="form-control"/> <field type="radio-group" label="Would you like to receive promotional emails?" name="would-you-like-to-receive-promotional-emails"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Air Preferences"/> <field type="textarea" label="What is your preferred airport to travel from?&amp;nbsp; You can add two if needed." name="what-is-your-preferred-airport-to-travel-from-you-can-add-two-if-needed" className="form-control"/> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> </field> <field type="radio-group" label="If available, do you like bulkhead seats?" name="if-available-do-you-like-bulkhead-seats"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Do you have a preferred class of service (short haul)" description="(Short Haul is considered up to 5 hours of service)" name="do-you-have-a-preferred-class-of-service-short-haul" other="true"> <option label="Main Cabin" value="main-cabin">Main Cabin</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Business/First" value="businessfirst">Business/First</option> </field> <field type="radio-group" label="Do you have a preferred class of service (long haul)" description="(Long Haul is considered 5 hours or more of service)" name="do-you-have-a-preferred-class-of-service-long-haul" other="true"> <option label="Main Cabin" value="main-cabin">Main Cabin</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Business" value="business">Business</option> <option label="First" value="first">First</option> </field> <field type="header" subtype="h1" label="Hotel Preferences"/> <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="radio-group" label="Hotel preference" name="hotel-preference"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" label="Vibe preferences" 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="Party" value="party">Party</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="checkbox-group" label="Activity preferences" name="activity-preferences"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theatre" value="art-theatre">Arts and theatre</option> </field> <field type="header" subtype="h1" label="Getting to Know You"/> <field type="paragraph" subtype="p" label="The questions below allow our team to better tailor your travel experience.&amp;nbsp; Feel free to only answer for one person in your group.&amp;nbsp;"/> <field type="textarea" label="When does your vacation start?&amp;nbsp;" name="when-does-your-vacation-start-" className="form-control"/> <field type="textarea" label="When you have a free day how do you like to spend your time?&amp;nbsp;" name="when-you-have-a-free-day-how-do-you-like-to-spend-your-time-" className="form-control"/> <field type="textarea" label="What is your most fond travel memory and why?&amp;nbsp;" name="what-is-your-most-fond-travel-memory-and-why-" className="form-control"/> <field type="textarea" label="Where do you dream of traveling?&amp;nbsp;" name="where-do-you-dream-of-traveling-" className="form-control"/> <field type="textarea" label="Is there anything you find unsettling? (Small planes, insects, crowds, etc.)&amp;nbsp;" name="is-there-anything-you-find-unsettling-small-planes-insects-crowds-etc-" className="form-control"/> <field type="textarea" label="Describe the style of accommodation you prefer (contemporary / trendy, traditional / elegant, classic / clean, eco chic?)&amp;nbsp;" name="describe-the-style-of-accommodation-you-prefer-contemporary-trendy-traditional-elegant-classic-clean-eco-chic-" className="form-control"/> <field type="textarea" label="My most essential hotel amenity or service:&amp;nbsp;" name="my-most-essential-hotel-amenity-or-service-" className="form-control"/> <field type="textarea" label="Experiences I find most rewarding, fulfilling and memorable when I travel:&amp;nbsp;" name="experiences-i-find-most-rewarding-fulfilling-and-memorable-when-i-travel-" className="form-control"/> <field type="textarea" label="My beverage(s) of choice:&amp;nbsp;" name="my-beverages-of-choice-" className="form-control"/> <field type="textarea" label="Provide five words that describe your perfect vacation:&amp;nbsp;" name="provide-five-words-that-describe-your-perfect-vacation-" className="form-control"/> <field type="textarea" label="Briefly describe what influences your travel decisions:&amp;nbsp;" name="briefly-describe-what-influences-your-travel-decisions-" className="form-control"/> <field type="textarea" label="Ways that my traveling companion(s) and I differ in how we like to spend our days:&amp;nbsp;" name="ways-that-my-traveling-companions-and-i-differ-in-how-we-like-to-spend-our-days-" className="form-control"/> <field type="textarea" label="I would describe my personal style as:&amp;nbsp;" name="i-would-describe-my-personal-style-as-" className="form-control"/> <field type="textarea" label="My pet peeve is:&amp;nbsp;" name="my-pet-peeve-is-" className="form-control"/> <field type="textarea" label="The reason I travel is to:&amp;nbsp;" name="the-reason-i-travel-is-to-" className="form-control"/> <field type="textarea" label="My favorite indulgence:&amp;nbsp;" name="my-favorite-indulgence-" className="form-control"/> <field type="textarea" label="Most memorable meal (details please!):&amp;nbsp;" name="most-memorable-meal-details-please-" className="form-control"/> <field type="textarea" label="What is your favorite sport (activity) to both participate and watch?&amp;nbsp;" name="what-is-your-favorite-sport-activity-to-both-participate-and-watch-" className="form-control"/> </fields> </form-template> </body> </html>
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