Share your information with Kelsea Haas

Kelsea Haas

Ticket to Adventure Travel Company, LLC

<html>
  <body>
    <form-template>&#13;
	<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="h2" label="Questions for your WDW trip"/>&#13;
		<field type="date" label="When would you like to arrive?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to check out?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many adults?" description="18+" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children?" description="age 0-17" name="text-1769128738657" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What are the ages of the children at the time of travel?" description="Age on check in day if they have a birthday during your stay" name="text-1769128775118" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="text" label="How many park days do you need?" name="how-many-park-days-do-you-need" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Are you interested in park hoppers?" name="are-you-interested-in-park-hoppers">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What parks are you interested in visiting?" name="what-parks-are-you-interested-in-visiting">&#13;
			<option label="Magic Kingdom" value="magic-kingdom">Magic Kingdom</option>&#13;
			<option label="EPCOT" value="epcot">EPCOT</option>&#13;
			<option label="Hollywood Studios" value="hollywood-studios">Hollywood Studios</option>&#13;
			<option label="Animal Kingdom" value="animal-kingdom">Animal Kingdom</option>&#13;
			<option label="Blizzard Beach Water Park" value="blizzard-beach-water-park">Blizzard Beach Water Park</option>&#13;
			<option label="Typhoon Lagoon Water Park" value="typhoon-lagoon-water-park">Typhoon Lagoon Water Park</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in Special Event Tickets?" name="are-you-interested-in-special-event-tickets">&#13;
			<option label="Mickey's Very Merry Christmas Party" value="mickeys-very-merry-christmas-party">Mickey's Very Merry Christmas Party</option>&#13;
			<option label="Mickey's Not So Scary Halloween Party" value="mickeys-not-so-scary-halloween-party">Mickey's Not So Scary Halloween Party</option>&#13;
			<option label="After Hours" value="after-hours">After Hours</option>&#13;
			<option label="H2Glow water park " value="h2glow-water-park-">H2Glow water park </option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Value" value="value">Value</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Deluxe" value="deluxe">Deluxe</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Most budget friendly" value="most-budget-friendly">Most budget friendly</option>&#13;
			<option label="Most Convenient (moderate)" value="most-convenient-moderate">Most Convenient (moderate)</option>&#13;
			<option label="Most Convenient (Splurge)" value="most-convenient-splurge">Most Convenient (Splurge)</option>&#13;
			<option label="Heavy Disney Themeing" value="heavy-disney-themeing">Heavy Disney Themeing</option>&#13;
			<option label="Small and quiet" value="small-and-quiet">Small and quiet</option>&#13;
			<option label="Skyliner is a must" value="skyliner-is-a-must">Skyliner is a must</option>&#13;
			<option label="Monorail is a must" value="monorail-is-a-must">Monorail is a must</option>&#13;
			<option label="Club Level" value="club-level">Club Level</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What is your preference on views?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Water" value="water">Water</option>&#13;
			<option label="Resort" value="resort">Resort</option>&#13;
			<option label="Garden" value="garden">Garden</option>&#13;
			<option label="Fireworks" value="fireworks">Fireworks</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Would you be interested&amp;nbsp; in adding the Memory Maker package" description="pre arrival price is discounted" name="would-you-be-interested-in-adding-the-memory-maker-package">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in the Disney Dining Plans?" name="are-you-interested-in-the-disney-dining-plans">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are you celebrating anything special during your trip?" name="text-1769128903740" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>