Share your information with Rebecca Ralston

Rebecca Ralston

Ivory + Compass Curated Travel

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		<field type="header" subtype="h2" label="Ivory + Sparrow Collective Oceanside, Salt Air &amp;amp; Mahj Retreat November 14-17, 2026"/>&#13;
		<field type="header" subtype="h3" label="Contact Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City and State" placeholder="Your answer" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Emergency Contact Information"/>&#13;
		<field type="text" label="Full name" name="emergency-contact-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Accommodation Selection - select one" name="accommodation-selection" className="radio-group">&#13;
			<option label="Single Occupancy (Private-1 king  or 2 queen bed)" value="single-occupancy-private1-king-or-2-queen-bed">Single Occupancy (Private-1 king  or 2 queen bed)</option>&#13;
			<option label="Double Occupancy (1 king or 2 queen bed)" value="double-occupancy-1-king-or-2-queen-bed">Double Occupancy (1 king or 2 queen bed)</option>&#13;
			<option label="Double Occupancy (2 queen bed)" value="double-occupancy-2-queen-bed">Double Occupancy (2 queen bed)</option>&#13;
			<option label="Triple Occupancy (2 queen bed)" value="triple-occupancy-2-queen-bed">Triple Occupancy (2 queen bed)</option>&#13;
			<option label="Quadruple Occupancy (2 queen bed)" value="quadruple-occupancy-2-queen-bed">Quadruple Occupancy (2 queen bed)</option>&#13;
		</field>&#13;
		<field type="text" label="Name of roommate/roommates (if applicable)" placeholder="Your answer" name="name-of-roommates" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="For the Social Sparrow Mahjong Classic, are you willing to be East and keep score at the table?" name="willing-to-be-east-scorekeeper" className="checkbox-group">&#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="Help us gauge interest! If enough guests are interested, we&#39;ll offer an optional 2-hour strategy session for an additional fee. Selecting &quot;Yes&quot; is non-binding and simply helps us plan." name="interested-full-day-tournament" className="checkbox-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="We&#39;re considering offering an optional group outing for guests extending their stay by an additional night. Possible experiences include a Temecula wine tour, coastal e-bike tour, guided hike, or another curated activity. The final experience will depend on guest interest and group size. Your response is for planning purposes only and does not commit you to participate. An additional fee will apply." name="checkbox-group-1782500353027" className="checkbox-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="select" label="Group Activity Preference For Additional Day" name="select-1782501639564" multiple="multiple" className="form-control">&#13;
			<option label="Private Temecula Wine Tour, Tasting, and Lunch" value="private-temecula-wine-tour-tasting-and-lunch">Private Temecula Wine Tour, Tasting, and Lunch</option>&#13;
			<option label="Coastal E-bike Tour With Lunch" value="coastal-ebike-tour-with-lunch">Coastal E-bike Tour With Lunch</option>&#13;
			<option label="Guided Hike With Lunch" value="guided-hike-with-lunch">Guided Hike With Lunch</option>&#13;
			<option label="Other Curated Activity" value="other-curated-activity">Other Curated Activity</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Activity Preference For Additional Day." name="activity-preference-for-additional-day" other="true">&#13;
			<option label="Private Temecula Wine Tour, Tasting, and Lunch" value="private-temecula-wine-tour-tasting-and-lunch">Private Temecula Wine Tour, Tasting, and Lunch</option>&#13;
			<option label="Coastal E-bike tour with lunch" value="coastal-ebike-tour-with-lunch">Coastal E-bike tour with lunch</option>&#13;
			<option label="Guided hike with lunch" value="guided-hike-with-lunch">Guided hike with lunch</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are you interested in booking any additional nights at the hotel for either before or after the retreat? If so, we may be able to book at our discounted group rates. " name="interested-additional-nights-hotel" className="checkbox-group">&#13;
			<option label="Yes" value="Yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="text" label="If interested in additional nights at the hotel, which extra night(s) would you like to add to your reservation?" placeholder="Your answer" name="additional-nights-selection" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Personal Preferences"/>&#13;
		<field type="textarea" required="true" label="Medical issues including any allergies?" placeholder="Your answer" name="special-requests" className="form-control"/>&#13;
		<field type="textarea" label="Do you have any dietary requirements or preferences?" placeholder="Your answer" name="textarea-1782500520803" className="form-control"/>&#13;
		<field type="textarea" label="Any particular drink or snack preferences?" placeholder="Your answer" name="textarea-1782500574792" className="form-control"/>&#13;
		<field type="textarea" label="What are you most excited about or hoping to get out of the trip?" placeholder="Your answer" name="textarea-1782500625728" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="By checking this box, I hereby consent to have my participation and likeness photographed, recorded and published for marketing purposes by Ivory + Sparrow Collective and Ivory + Compass Luxury Travel." name="consent-photography-marketing" className="checkbox-group">&#13;
			<option label="I agree to the marketing policy" value="I agree to the marketing policy">I agree to the marketing policy</option>&#13;
		</field>&#13;
		<field type="text" label="We&#39;d love to know....How did you find out about the retreat?" placeholder="Your answer" name="how-found-out-about-retreats" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Payment Details"/>&#13;
		<field type="paragraph" subtype="p" label="A 40% Deposit will be required to finalize and hold your spot. Submission of this form does not hold or guarantee you a spot. After form submission, you will be contacted with further instructions on how to pay your deposit. The remaining balance is due 60 days prior to the retreat check-in date. Because of the advance planning and supplier commitments required for this experience, all payments are nonrefundable. If you need to cancel, we&#39;ll make every reasonable effort to fill your spot from our waitlist. If we&#39;re able to secure a replacement guest, you&#39;ll receive an 80% refund of the payments you&#39;ve made. If your reservation cannot be filled, payments will remain nonrefundable. To protect your investment, it is strongly encouraged to purchase travel insurance, which may provide coverage for unexpected cancellations and other travel disruptions." className="field-hidden"/>&#13;
		<field type="checkbox-group" required="true" name="payment-plan-agreement" className="checkbox-group">&#13;
			<option label="I have read and understand the payment plan and cancellation policy described above and agree to to the terms." value="i-have-read-and-understand-the-payment-plan-and-cancellation-policy-described-above-and-agree-to-to-the-terms">I have read and understand the payment plan and cancellation policy described above and agree to to the terms.</option>&#13;
		</field>&#13;
	</fields>&#13;
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