Disney Cruise Line
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Basic Information
Full Name
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First Name
Middle Name
Last Name
Address
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Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
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E-mail
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How do you prefer to be contacted
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Call
Text
Email
Please specify best time to call.
Specific day of the week, morning, or evening.
Adults in Party (18 & older)
*
Please type everyone’s legal first, middle, and last name followed by date of birth.
Children in Party (0 to 17 years)
Please type everyone’s legal first, middle, and last name followed by their age at the time of travel. Some itineraries have a minimum age requirement.
If you are a Castaway Club member, what level are you?
*
New to Disney Cruise Line
Silver (1-4 Disney cruises completed)
Gold (5-9 Disney cruises completed)
Platinum (10-24 Disney cruises completed)
Pearl (25+ Disney cruises completed)
Travel Preferences
Preferred Sail Start
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-
Month
-
Day
Year
Date
Preferred Sail End
*
-
Month
-
Day
Year
Date
What destinations are you interested in?
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Alaska
Bahamas
Bermuda
Canada
Caribbean
Europe
Mexico
Pacific Coast
Australia
Transatlantic
Disney's Castaway Cay
Disney's Lighthouse Point
What is your preferred departure port?
*
Port Canaveral, Florida
San Diego, California
Galveston, Texas
Miami, Florida
Fort Laderdale, Florida
New York, New York
New Orleans, Louisiana
San Juan, Puerto Rico
Vancouver (British Columbia), Canada
Barcelona, Spain
Civitavecchia (Rome), Italy
Copenhagen, Denmark
Dover, England
Southampton, England
Sydney, Australia
How long is your ideal Disney cruise?
*
3 nights
4 nights
5-7 nights
8-13 nights
14+ nights
Do you have a ship preference?
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Disney Wish
Disney Dream
Disney Fantasy
Disney Wonder
Disney Magic
Disney Treasure
No Preference
Stateroom Preference
*
Inside
Oceanview
Balcony
Concierge
Concierge Suite
Number of rooms needed
*
Please Select
1
2
3
4
More than 4
Each room maxes out at 4-5 people depending on the category except for Concierge Suites which can hold more.
Please specify any special requests.
For example, ship location (forward, mid, aft), deck level, connecting rooms, or handicap accessible room. Also, state how you like to break your party up if requesting multiple rooms.
Are you interested in any themed or holiday cruises?
*
Marvel Day at Sea (from late January-March)
Pixar Day at Sea (from late January-March)
Halloween on the High Seas (from September-October)
Very Merrytime (November-December)
Normal sailing
No preference
What is MOST important to you when considering your cruise options?
*
Sailing within our preferred dates
Sailing on our preferred ship
Sailing from our preferred port
Staying within our budget
Sailing on a themed sailing
What is the budget of your party?
*
Please Select
$1,500 to $2,500
$2,500 to $5,000
$5,000 to $7,500
$7,500 to $10,000
$10,000+
Not including flights.
Are you interested in Travel Insurance?
*
Yes, please include it in my quote.
No, I do not wish to purchase travel insurance & assume all risks.
I will be purchasing travel insurance through an outside vendor.
What is your booking timeline?
*
We are ready to place a 20% deposit per stateroom on our vacation.
We will be ready to make the deposit in the next two weeks.
We won't be ready to book for a month or more.
How did you hear about our services?
*
Facebook
Instagram
TikTok
Referred by Family/Friend/Influencer
Repeat Client
Other
If referred, what is their name?
Please type their first and last name or their social media handle (i.e. @travelsbyardyce).
Do you belong to any of the following groups?
United States Armed Forces (Active Duty or Retired Veterans Only)
Disney Visa Rewards Cardholder
Disney+ Subscriber
What can I do to help make your vacation planning a magical experience?
I would like to be added to the email list for special promos and travel news.
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Yes
No
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