<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="<br>Congratulations! 🎉 You've Selected the VIP Experience!"/> <field type="paragraph" subtype="p" label="Get ready for a seamless, stress-free adventure. We're thrilled to handle every detail of your park day, so you can focus on making magical memories!"/> <field type="paragraph" subtype="p" label="I have included a credit card authorization form attached to this form. This credit card authorization form is for the card that you wish to use to purchase the Disney Lightning Lane Multi Pass and/or Single Pass service."/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Park Day One"/> <field type="date" label="Park Day 1 - Date" description="What date will be your first park day?" name="park-day-1-date" className="form-control"/> <field type="select" label="Park Day 1 - Park&nbsp;" description="Which park will you visit on your first park day?" name="park-day-1-park-" className="form-control"> <option label="Park Options" value="park-options">Park Options</option> <option label="Magic Kingdom" value="magic-kingdom">Magic Kingdom</option> <option label="EPCOT" value="epcot">EPCOT</option> <option label="Animal Kingdom" value="animal-kingdom">Animal Kingdom</option> <option label="Hollywood Studios" value="hollywood-studios">Hollywood Studios</option> </field> <field type="header" subtype="h1" label="Park Day Two"/> <field type="date" label="Park Day 2 - Date" description="What date will be your second park day?" name="park-day-2-date" className="form-control"/> <field type="select" label="Park Day 2 - Park&nbsp;" description="Which park will you visit on your second park day?" name="park-day-2-park-" className="form-control"> <option label="Park Options" value="park-options">Park Options</option> <option label="Magic Kingdom" value="magic-kingdom">Magic Kingdom</option> <option label="EPCOT" value="epcot">EPCOT</option> <option label="Animal Kingdom" value="animal-kingdom">Animal Kingdom</option> <option label="Hollywood Studios" value="hollywood-studios">Hollywood Studios</option> </field> <field type="header" subtype="h1" label="Park Day Three"/> <field type="date" label="Park Day 3 - Date" description="What date will be your third park day?" name="park-day-3-date" className="form-control"/> <field type="select" label="Park Day 3 - Park&nbsp;" description="Which park will you visit on your third park day?" name="park-day-3-park-" className="form-control"> <option label="Park Options" value="park-options">Park Options</option> <option label="Magic Kingdom" value="magic-kingdom">Magic Kingdom</option> <option label="EPCOT" value="epcot">EPCOT</option> <option label="Animal Kingdom" value="animal-kingdom">Animal Kingdom</option> <option label="Hollywood Studios" value="hollywood-studios">Hollywood Studios</option> </field> <field type="header" subtype="h1" label="Park Day Four"/> <field type="date" label="Park Day 4 - Date" description="What date will be your third park day?" name="park-day-4-date" className="form-control"/> <field type="select" label="Park Day 4 - Park&nbsp;" description="Which park will you visit on your fourth park day?" name="park-day-4-park-" className="form-control"> <option label="Park Options" value="park-options">Park Options</option> <option label="Magic Kingdom" value="magic-kingdom">Magic Kingdom</option> <option label="EPCOT" value="epcot">EPCOT</option> <option label="Animal Kingdom" value="animal-kingdom">Animal Kingdom</option> <option label="Hollywood Studios" value="hollywood-studios">Hollywood Studios</option> </field> <field type="paragraph" subtype="p" label="<br>"/> <field type="header" subtype="h1" label="Ride Preferences"/> <field type="paragraph" subtype="p" label="This is where you will check off your top 5 rides for each park"/> <field type="checkbox-group" label="<b>Magic Kingdom</b>" name="magic-kingdom"> <option label="Big Thunder Mountain Railroad" value="big-thunder-mountain-railroad">Big Thunder Mountain Railroad</option> <option label="Jungle Cruise" value="jungle-cruise">Jungle Cruise</option> <option label="Peter Pan’s Flight " value="peter-pans-flight-">Peter Pan’s Flight </option> <option label="Space Mountain " value="space-mountain-">Space Mountain </option> <option label="Tiana’s Bayou Adventure" value="tianas-bayou-adventure">Tiana’s Bayou Adventure</option> <option label="The Barnstormer " value="the-barnstormer-">The Barnstormer </option> <option label="Buzz Lightyear’s Space Ranger Spin " value="buzz-lightyears-space-ranger-spin-">Buzz Lightyear’s Space Ranger Spin </option> <option label="Dumbo the Flying Elephant" value="dumbo-the-flying-elephant">Dumbo the Flying Elephant</option> <option label="Haunted Mansion " value="haunted-mansion-">Haunted Mansion </option> <option label="“It’s a small world”" value="its-a-small-world">“It’s a small world”</option> <option label="Mad Tea Party " value="mad-tea-party-">Mad Tea Party </option> <option label="The Magic Carpets of Aladdin " value="the-magic-carpets-of-aladdin-">The Magic Carpets of Aladdin </option> <option label="The Many Adventures of Winnie the Pooh " value="the-many-adventures-of-winnie-the-pooh-">The Many Adventures of Winnie the Pooh </option> <option label="Mickey’s PhilharMagic " value="mickeys-philharmagic-">Mickey’s PhilharMagic </option> <option label="Monsters Inc. Laugh Floor " value="monsters-inc-laugh-floor-">Monsters Inc. Laugh Floor </option> <option label="Pirates of the Caribbean " value="pirates-of-the-caribbean-">Pirates of the Caribbean </option> <option label="Tomorrowland Speedway " value="tomorrowland-speedway-">Tomorrowland Speedway </option> <option label="Under the Sea-Journey of the Little Mermaid " value="under-the-seajourney-of-the-little-mermaid-">Under the Sea-Journey of the Little Mermaid </option> <option label="Seven Dwarfs Mine Train ($ - Single Pass Only)" value="seven-dwarfs-mine-train-single-pass-only">Seven Dwarfs Mine Train ($ - Single Pass Only)</option> <option label="TRON ($ - Single Pass Only)" value="tron-single-pass-only">TRON ($ - Single Pass Only)</option> </field> <field type="checkbox-group" label="<b>Epcot</b>" name="epcot"> <option label="Frozen Ever After" value="frozen-ever-after">Frozen Ever After</option> <option label="Remy’s Ratatouille Adventure " value="remys-ratatouille-adventure-">Remy’s Ratatouille Adventure </option> <option label="Soarin’ Around the World " value="soarin-around-the-world-">Soarin’ Around the World </option> <option label="Disney and Pixar Short Film Festival " value="disney-and-pixar-short-film-festival-">Disney and Pixar Short Film Festival </option> <option label="Journey into Imagination with Figment " value="journey-into-imagination-with-figment-">Journey into Imagination with Figment </option> <option label="Living with the Land " value="living-with-the-land-">Living with the Land </option> <option label="Mission:SPACE " value="missionspace-">Mission:SPACE </option> <option label="The Seas with Nemo & Friends" value="the-seas-with-nemo-friends">The Seas with Nemo & Friends</option> <option label="Spaceship Earth " value="spaceship-earth-">Spaceship Earth </option> <option label="Turtle Talk with Crush " value="turtle-talk-with-crush-">Turtle Talk with Crush </option> <option label="Guardians of the Galaxy: Cosmic Rewind ($ - Single Pass Only)" value="guardians-of-the-galaxy-cosmic-rewind-single-pass-only">Guardians of the Galaxy: Cosmic Rewind ($ - Single Pass Only)</option> </field> <field type="checkbox-group" label="<b>Animal Kingdom </b>" name="animal-kingdom-"> <option label="DINOSAUR" value="dinosaur">DINOSAUR</option> <option label="Expedition Everest-Legend of the Forbidden Mountain " value="expedition-everestlegend-of-the-forbidden-mountain-">Expedition Everest-Legend of the Forbidden Mountain </option> <option label="Feathered Friends in Flight! " value="feathered-friends-in-flight-">Feathered Friends in Flight! </option> <option label="Festival of the Lion King" value="festival-of-the-lion-king">Festival of the Lion King</option> <option label="Finding Nemo: The Big Blue…and Beyond! " value="finding-nemo-the-big-blueand-beyond-">Finding Nemo: The Big Blue…and Beyond! </option> <option label="It’s Tought to Be a Bug! " value="its-tought-to-be-a-bug-">It’s Tought to Be a Bug! </option> <option label="Kali River Rapids" value="kali-river-rapids">Kali River Rapids</option> <option label="Kilimanjaro Safaris" value="kilimanjaro-safaris">Kilimanjaro Safaris</option> <option label="Na’vi River Journey" value="navi-river-journey">Na’vi River Journey</option> <option label="Avatar Flight of Passage ($ - Single Pass Only)" value="avatar-flight-of-passage-single-pass-only">Avatar Flight of Passage ($ - Single Pass Only)</option> </field> <field type="checkbox-group" label="<b>Hollywood Studios<b></b></b>" name="hollywood-studios"> <option label="Mickey & Minnie’s Runaway Railway " value="mickey-minnies-runaway-railway-">Mickey & Minnie’s Runaway Railway </option> <option label="Millenium Falcon: Smugglers Run" value="millenium-falcon-smugglers-run">Millenium Falcon: Smugglers Run</option> <option label="Rock’n’Roller Coaster Starring Aerosmith" value="rocknroller-coaster-starring-aerosmith">Rock’n’Roller Coaster Starring Aerosmith</option> <option label="Slinky Dog Dash" value="slinky-dog-dash">Slinky Dog Dash</option> <option label="Alien Swirling Saucers" value="alien-swirling-saucers">Alien Swirling Saucers</option> <option label="Beauty and the Beast Live on Stage " value="beauty-and-the-beast-live-on-stage-">Beauty and the Beast Live on Stage </option> <option label="Disney Junior Play & Dance" value="disney-junior-play-dance">Disney Junior Play & Dance</option> <option label="For the First Time in Forever: A Frozen Sing-Along Celebration" value="for-the-first-time-in-forever-a-frozen-singalong-celebration">For the First Time in Forever: A Frozen Sing-Along Celebration</option> <option label="Indiana Jones Epic Stunt Spectacular " value="indiana-jones-epic-stunt-spectacular-">Indiana Jones Epic Stunt Spectacular </option> <option label="Muppets*Vision 3D" value="muppetsvision-3d">Muppets*Vision 3D</option> <option label="Star Tours- The Adventures Continue" value="star-tours-the-adventures-continue">Star Tours- The Adventures Continue</option> <option label="The Twilight Zone Tower of Terror " value="the-twilight-zone-tower-of-terror-">The Twilight Zone Tower of Terror </option> <option label="Toy Story Mania! " value="toy-story-mania-">Toy Story Mania! </option> </field> </fields> </form-template> </body> </html>
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