Walt Disney World Resort
Kindly complete this form with as much detail as possible.
This helps me to understand your vacation preferences more effectively.
Lead guest name:
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First Name
Middle Name
Last Name
Suffix
Date of Birth:
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Mailing Address:
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Phone Number:
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Format: (000) 000-0000.
Email address:
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Do any of these apply to anyone in your traveling party?
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Senior Citizen
Military
None of these apply
Other (please specify if multiple options apply)
Full Legal Names and birthdates for each traveler.
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List names EXACTLY how they appear on passport, government-issued ID, or birth certificates.
Which Disney park do you want to visit?
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Walt Disney World Resort (Florida)
Disneyland (California)
Have you visited a Disney Park Before?
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Yes, I have visited Walt Disney World in the past
No, this will be my first visit
Other (If requesting Disneyland, have you visited before?)
Are you a Disney+ subscriber?
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Yes, I have Disney+
No, I do not have Disney+
Preferred dates of travel?
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Please be as specific as possible as this helps narrow down options.
Are these dates flexible?
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Yes
No
Other (please specify)
How many rooms will you need?
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1 room
2 rooms
3+ rooms
Will anyone in your party need an accessible room?
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Yes
No
Are there any medical needs and/or mobility issues to consider for this trip?
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Please indicate any medical/mobility needs that are required.
Are there any food allergies that need to be considered for this trip?
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Yes
No
Are there any pet allergies that need to be considered for this trip?
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Yes
No
Which resort tier would you prefer?
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Value ($)
Moderate ($$)
Deluxe ($$$$)
Other (please specify)
Do you have a resort preference?
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List any resort preferences here.
Does anyone in your party have a fear of heights?
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Yes
No
How many park days are you interested in?
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1 day park ticket
2 day park tickets
3 day park tickets
4 day park tickets
5 day park tickets
6 days+ park tickets
Other (please specify)
Would you like to add-on park hopper tickets to your package?
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Yes, I would love to visit more than 1 park per day
No, I would not be interested in park hopping
Undecided
Would you like to add-on the water park ticket option in your package?
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Yes, I want to add on a water park
No, I would not be interested in a water park
Undecided
Would you like to add-on memory maker to your package?
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Yes, I would love to add on memory maker
No, I would not be interested in memory maker
Undecided
Would you like to add-on a Disney Dining Plan?
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Disney Quick-Service Dining Plan
Disney Dining Plan
Deluxe Table-Service Dining Plan (starting 2027)
I need more information about Dining Plans
No, I do not want a Dining Plan
Would you like to add-on travel protection??
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Yes, I would like to purchase travel protection
No, I am not interested in travel protection
Undecided
How much are you willing to spend on this Disney trip?
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$2,000 - $3,000
$3,000 - $4,000
$4,000 - $5,000
$5,000 - $6,000
$6,000 - $7,000
This is a once in a lifetime trip, so whatever it takes
What mode of transportation will you be using?
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Driving
Flying
Other (please specify)
If flying, are you interested in ground transportation from the airport to your Disney resort?
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Yes, please arrange transfers for us
No, we will arrange our own transfers
Other (please specify)
Will anyone in your party need a stroller rental for young kids?
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Yes, I need a stroller rental for my child(ren)
No, I do not need a stroller rental
Other (please specify)
Will anyone in your party need an electric scooter rental?
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Yes, I need to rent an electric scooter
No, I do not need to rent an electric scooter
Other (please specify)
Are there any specifics that are necessary for this trip?
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List any special requests here.
Are you celebrating any special occasion during this trip?
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Birthday
Anniversary
Honeymoon
Graduation
Retirement
None
Other (please specify)
List any travel discount memberships that you have.
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Examples: Hotel Rewards, AAA, AARP, etc.
Have you ever worked with a travel agent when planning previous trips?
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Yes, I have used a travel agent
No, I have never used a travel agent
How did you hear about Magic Haven Travels?
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Social Media
Internet search
Referred by a friend (please list who referred you)
Please verify that you are human
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Kindly allow 1 to 2 business days for the processing of all travel requests.
Submit
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