World Accessible Holidays - Professionals Enquiry Form

Professionals Enquiry Form
Name*
Organisation
Email address*
example@example.com
Phone Number*
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 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 Carers not part of main family
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
Destination Requirements
Holiday Type*

City BreakBeachSkiLakes & MountainsTheme ParksSafariAdventureTropicalWedding/HoneymoonFly CruiseNo Fly CruiseOther
Maximum Flying Time

Up to 3 Hours3 - 6 Hours6+ Hours
Preferred UK Airport or Train Requirements *
Tell us which airports you would consider flying from or train eg Eurostar London St. Pancras
Cruise Area

MediterraneanGreek Islands & AdriaticScandinavia & BalticsBritish IslesMiddle EastCaribbeanSouth AmericaNorth AmericaAsiaAustralasia
Cruise Area

MediterraneanScandinavia & BalticsBritish IslesNorth America
Cruise Type

No Tenders - only ports where the ships dock and tender boats are not neededFamily focused cruisesAdults only cruises
If you have a specific country or resort you are interested in, please advise
Standard of Accommodation Required

3 Star4 Star5 Star
Type of Resort Required

Quiet and relaxingModerately lively but still relaxingLively with lots going on
Board Basis Required

Room OnlySelf CateringBreakfast IncludedHalf BoardFull BoardAll Inclusive
Location Requirements

Seafront LocationClose to the BeachClose to ResortFlat SurroundingsTransfer Time <40 mins
Other Facility Requirements

Daytime EntertainmentEvening EntertainmentKids PoolKids ClubSpaIndoor Pool
Accessibility Requirements
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 PeopleDisabled Parking
Medical Equipment needed in Resort

Electric profiling bedCommode chairToilet riserWheeled shower chairElectric hoistOther
Any other requirements that you feel may be relevant for this client.
Costs
Do you require an additional quote that shows the cost of the holiday due to the disability ie where the family will pay part of the cost and trust the remainder

YesNo
Should be Empty:

Professionals Enquiry Form

Date Requirements

Your Clients Information

Destination Requirements

Accessibility Requirements

Costs