Vacation Intake Form

This form helps me build quotes that match your dates, airports, vibe, room needs, and insurance preferences. Popout date pickers are built in. Airport fields support code search.

Traveler Contact

Full Name Email Address

Phone Preferred Contact Method

Best Time to Contact Traveler State (optional)

Trip Basics

Trip Type Destination(s)

Number of Travelers (Adults / Kids) Celebration / Occasion

Budget Range

Budget helps me send options you’ll actually love—and actually book.

Total Budget (optional)

Dates (Popout Pickers)

Use the date popouts. If you’re flexible, tell me how flexible.

Preferred Departure Date Preferred Return Date

Date Flexibility Length Preference (optional)

Flights & Airports (Open-Jaw Supported)

Start typing a 3-letter airport code (LAS, LAX, CUN) or city name.

Round Trip One Way Open Jaw

Departing Airport (type code or city) Destination Airport (if known)

Cabin Class Preferred Airline(s) (optional)

Seat Preferences / Notes (optional) TSA Pre / Global Entry / KTN (optional)

Lodging & Room Needs

Room Type / Bedding Resort / Hotel Vibe

Amenities Must-Haves Accessibility Needs (if any)

Dietary Needs / Allergies (optional) Smoking Preference

Cruise Details (If Applicable)

Cruise Line Preference (optional) Cabin Type

Port of Departure (optional) Preferred Itinerary / Ports (optional)

Travel Insurance

Insurance options vary. This section helps me quote the right coverage direction for you.

Do you want Travel Insurance options quoted? Primary Concern (optional)

Traveler Documents

Passport Status Names Match Government ID

Special Notes (name spelling, minors, etc.)

Preferences & Must-Haves

Travel Pace Excursions Interest Food Priority

Must-Haves / Deal Breakers

Anything Else You Want Me To Know?

Review & Submit

Note: This form currently uses mailto (your email app opens on submit). If you want a true web submission, we can swap the action to a form processor later.