Vacation Daze, LLC

Let's start by gathering some information about you!
Lead Guest (must be at least 18 years old per Disney Travel Co. policy)*

PrefixFirst NameLast NameSuffix
Lead Guest Date of Birth*

MonthDayYear
Favorite Disney Character(s):
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is the Mailing Address the same as the Billing Address? *

YesNo-Please complete Billing Address Section below
Billing Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Contact Phone Number*
E-mail*

Confirmation Email
Secondary Email (Additional guest who would like to receive planning communications)

Confirmation Emailexample@example.com
Please tell me about your travel party!
Total Number of Adults:*
Total Number of Children (under 18 years old):*
Total Number of Rooms Needed:*
Who is traveling with you?
Guest 1

PrefixFirst NameLast NameSuffix
Guest 1 Birth Date (if under 18)

MonthDayYear
Room Assignment
Favorite Disney Character(s):
Guest 2

PrefixFirst NameLast NameSuffix
Guest 2 Birth Date (if under 18)

MonthDayYear
Room Assignment
Favorite Disney Character(s):
Guest 3

PrefixFirst NameLast NameSuffix
Guest 3 Birth Date (if under 18)

MonthDayYear
Room Assignment
Favorite Disney Character(s):
Guest 4

PrefixFirst NameLast NameSuffix
Guest 4 Birth Date (if under 18)

MonthDayYear
Room Assignment
Favorite Disney Character(s):
Guest 5

PrefixFirst NameLast NameSuffix
Guest 5 Birth Date (if under 18)

MonthDayYear
Room Assignment
Favorite Disney Character(s):
Guest 6

PrefixFirst NameLast NameSuffix
Guest 6 Birth Date (if under 18)

MonthDayYear
Room Assignment
Favorite Disney Character(s):
Guest 7

PrefixFirst NameLast NameSuffix
Guest 7 Birth Date (if under 18)

MonthDayYear
Room Assignment
Favorite Disney Character(s):
If there are additional guests, please enter full name, date of birth and room assignment below:
Does anyone in the travel party have food allergies? If so, please indicate name of guest and food allergies below. *
Does anyone in your party require handicap accessible rooms(s)?*

YesNo
Now let's gather some info about your Vacation to the Walt Disney World Resort:
Do you already have a reservation secured with Disney? (Hover mouse here for details)*

NoYes-booked within the last 30 days through Disney directlyYes-booked with another travel agentYes-more than 30 days agoOther
Earliest Travel Start Date*

MonthDayYear
Latest Date of Return*

MonthDayYear
Are your travel dates flexible?*

No-must be dates indicated aboveYes-I can travel up to 5 days before and 5 days after the above datesYes-I can travel anytime in the month of (indicate in "Other" box below)Yes-I'm super flexible! Please help me find travel dates that offer the best value.Other
How many NIGHTS would you like to visit the Walt Disney World Resort? For example, a 5-night stay equates to 4 full days of fun. If you're unsure at this point, that's ok! A range is fine as well.*
Where would you like to stay when visiting the Walt Disney World Resort?*

Disney Resort Hotel-resort preferences listed belowDisney Resort Hotel-help me decide which Disney Resort Hotel best suits my travel partyHelp me explore various resort accommodations both on and off Disney PropertyI have already secured accommodations for my travel partyOther
First Choice Resort
Second Choice Resort
When considering your resort, which of the following on-site amenities or characteristics are important to you?*

In addition to a food court, many dining options including table service restaurants, lounges and character mealsRoom has a balcony or patio areaFitness CenterAdditional transportation options such as monorail, boat or Disney Skyliner (gondolas)Splash PadPlaygroundWasher and Dryer in the RoomFull Kitchen (stove, oven, microwave, full size fridge)Club Level ServiceFull Service SpaMinimal walking to pool, food court and transportationDecor includes lots of Disney/Pixar charactersSplashpadPool with waterslide and hot tubBest Value - Resort amenities are not importantOther
How will you be arriving to the Walt Disney World Resort?*

via Orlando International Airport (MCO) - For guests arriving on or after Jan 1, 2022 - Disney Travel Co. will no longer offer complimentary airport transportation.via Sanford International Airport (SFB)Alamo Rental Car - I would like to add a rental car to my Vacation Package (must be at least 21 years old). Vehicle can be dropped off at one of two on site rental car centers.Own carI'm not sure at this timeOther
Do you need to purchase theme park tickets? Disney World has amazing 4 theme parks (Magic Kingdom, Hollywood Studios, Epcot and Animal Kingdom) as well as 2 water parks. All guests on the same reservation must purchase the same ticket type.*

NoYes-Help me decide which ticket type is right for my travel partyYes-Base Ticket (ONE theme park each day of ticket)Yes - Water and Sports Option (ONE theme park each day of ticket. Plus, a certain number of visits to other Walt Disney World attractions such as water parks, NBA Experience and golf, based on the length of ticket)Yes-Park Hopper Option (Same day access to ALL 4 theme parks each day of ticket)Yes-Park Hopper Plus Option (Same day access to ALL 4 theme parks each day of ticket. Plus, a certain number of visits to other Walt Disney World attractions such as water parks, NBA Experience and golf, based on the length of ticket)Other
Disney Dining Plans are not currently being offered. When Disney Dining Plans are offered once again, are you interested in adding a Disney Dining Plan (pre-paid meals and beverages) to your Vacation Package for guests 3 years and older? Please note Disney Dining Plans can only be purchased by Walt Disney World Resort hotel guests. All guests on the same reservation must have the same Disney Dining Plan.*

Yes - Please contact me with information if Disney Dining Plans returnNo - I would like to purchase my meals a la carteI'm not sure - Help me decide if a Disney Dining Plan is right for my travel party
Are you interested in attending any special ticketed events?

Disney After Hours Boo Bash (Aug-Oct)Disney Very Merriest After Hours (Nov-Dec)Other
Do you need to rent a motorized scooter?*

YesNo
Do you need to rent a stroller?*

Yes - single strollerYes - double strollerNoOther
In order to best assist and provide you viable options for your Walt Disney World Resort vacation, please specify your target spending range (or max budget) for theme park tickets and resort accommodations. *
Do any of these apply to you or someone traveling with you?*

Disney Visa Cardholder- proof of card requiredDisney World Annual Passholder - ID requiredFlorida Resident - proof of residency requiredExclusive Promotional Code (Unique Pin Code - enter in "Other" field below)ACTIVE or RETIRED U.S. military personnel (including active or retired members of the National Guard, Reservists, the U.S. Coast Guard, the Commissioned Corps of the Public Health Service (PHS), and the Commissioned Corps of the National Oceanic and Atmospheric Administration (NOAA). Spouses of military service members and PHS and NOAA Commissioned Corps members also qualify if they are able to present valid and active U.S. military IDs in the absence of active or retired military personnel or Commissioned Corps members. Valid military ID will be required upon check-in and military member (or spouse) must stay in the room.None of the aboveOther
Are you celebrating a special occasion?

BirthdayAnniversaryHoneymoonFamily ReunionGraduationFirst Trip to DisneyOther
Additional information that will help me in designing your dream Disney vacation:
How many times have you visited the Walt Disney World Resort?*
If you have visited Walt Disney World Resort previously, when was your last visit?

Within the last 12 monthsWithin the past 3 yearsWithin the past 10 yearsOther
Are you interested in visiting another Theme Park while in the Orlando area?*

NoYes-Universal Studios OrlandoYes-Sea World OrlandoYes-Legoland Florida (Winter Haven, FL)Other
Are you interested in exploring other fantastic vacation options by Disney?*

Disneyland (Anaheim, California)Disney Cruise LineAulani, a Disney Resort and Spa, located in HawaiiAdventures by DisneyNot at this time
Were you referred by another client? If so, who can I thank for the referral?
Signature*

Clear
Date*

MonthDayYear
Date
Time*

:HourMinutesAM/PM Option
Please verify*
Thank you for your time and assistance!
Should be Empty:

Let's start by gathering some information about you!

Please tell me about your travel party!

Who is traveling with you?

Now let's gather some info about your Vacation to the Walt Disney World Resort:

Thank you for your time and assistance!