World Accessible Holidays - Professionals Enquiry Form

Professionals Enquiry Form
Name

First NameLast Name
Name*
Organisation
Email address*
example@example.com
Phone Number*
Indicative cost report (for court / settlement / funding purposes – no intention to travel at this stage)Live holiday quote (with a view to booking, subject to approval/funding)Unsure at this stage
Date Requirements
Month(s) of Travel
Year of Travel
Specific Date of Travel (if applicable)
Number of Nights
Number of nights*
Your Clients Information
Number of Adults in Family Party*
Number of Carers not part of main family
Number of Children (younger than 18)
Age of Child 1
Age of child at time of travel
Age of Child 2
Age of child at time of travel
Age of Child 3
Age of child at time of travel
Age of Child 4
Age of child at time of travel
Age of Child 5
Age of child at time of travel
Age of Child 6
Age of child at time of travel
Number of Rooms Required
Room Structure (if more than 1 room)
eg Room 1 - 2 adults 1 child, Room 2 - 1 adult carer, Room 3 - 1 adult carer
Trip Requirements
City BreakBeachSkiLakes & MountainsTheme ParksSafariAdventureTropicalNone of the aboveOther
YesNo
No fly cruise - sailing from the UK onlyFly cruise - departing from a port overseas (eg Mediterranean, USA)Consider both of the above
Please detail if there is a specific country, resort or destination that the client is interested in.
Up to 3 Hours3 - 6 Hours6+ Hours
Preferred UK Airport, Train Station or Port*
Tell us which airports, stations or ports
Economy for allBusiness or First for allBusiness / First for client or family, Economy for carersOther
Please detail how the seats in each cabins should be split
MediterraneanGreek Islands & AdriaticScandinavia & BalticsBritish IslesMiddle EastCaribbeanSouth AmericaNorth AmericaAsiaAustralasia
MediterraneanScandinavia & BalticsBritish IslesNorth America
No Tenders - only ports where the ships dock and tender boats are not neededFamily focused cruisesAdults only cruises
3 Star4 Star5 Star
Quiet and relaxingModerately lively but still relaxingLively with lots going on
Room OnlySelf CateringBreakfast IncludedHalf BoardFull BoardAll Inclusive
Seafront LocationClose to the BeachClose to ResortFlat SurroundingsTransfer Time <40 mins
Daytime EntertainmentEvening EntertainmentKids PoolKids ClubSpaIndoor Pool
Accessibility Requirements
Pool HoistPool RampRoman Steps with RailRoman Steps without RailShallow Entry PoolHeated PoolClose to Accessible BeachRoll in ShowerDropdown Seat in ShowerGrab Rails in ShowerDropdown Rails by ToiletAccessible Rooms for 3 or More People
Electric profiling bedCommode chairToilet riserWheeled shower chairElectric hoistOther
Any other requirements that you feel may be relevant for this client.
Should be Empty:

Professionals Enquiry Form

Date Requirements

Your Clients Information

Trip Requirements

Accessibility Requirements