Walt Disney World Vacation Form

Name*

First NameLast Name
Email*
example@example.com
Phone Number

Area CodePhone Number
Preferred Method of Contact. Check all that apply.*

EmailPhone CallText MessageFacebook Messenger
What state do you reside in?*
U.S. Military Involvement?*

NoNo but someone traveling with me isYes I am Active DutyYes I am RetiredYes I am a Military SpouseOther
Have you ever been to the Walt Disney World Resort in Florida before?*

NoYes
Preferred Arrival Date*

MonthDayYear
Preferred Departure Date*

MonthDayYear
Are your dates flexible?*

YesNo
How many Adults age 18+*
Age as of Arrival Date
How many Children age 10-17*
Age as of Arrival Date
How many Children age 3-9*
Age as of Arrival Date
How many Children age 0-2*
Age as of Arrival Date
Multiple rooms needed? If yes, please tell me how you would like to be split (include children's ages at time of travel) and if military.
Any Celebrations?*

NoBirthdayAnniversaryGraduationFirst VisitOther
Type of Travel? Check all that apply.*

Family VacationAdults Only VacationCouple's GetawayWeddingHoneymoonGirl's TripGuy's TripSolo TripOther
Preferred Disney Resort Category? Check any that apply. If a specific resort is desired, please enter it in the box labeled Resort Name.*

Not SureValue ResortModerate ResortDeluxe ResortMonorail ResortSkyliner ResortEpcot Area ResortOther
Resort room type/amenity preferences? - Check any that apply.*

NoneClub LevelHandicap Accessible RoomThemed RoomStandard Size RoomSuite/VillaKitchenetteFull KitchenWasher/Dryer in RoomStandard View (parking lot)Courtyard/Garden/Woods ViewWater/Pool ViewTheme Park ViewOther
How many park days would you like?*
Ticket Level Requested?*

Not SureBase Ticket (1 theme park per day - water parks not included)Base Ticket w/ Water Park (1 park per day - can be theme park or water park)Park Hopper Ticket (ability to visit multiple theme parks on the same day - water parks not included)Park Hopper Plus Ticket (park hopper feature with water parks included)Water Park Tickets OnlyI'm an Annual PassholderI will get my tickets from the Military
Would you like Memory Maker?*

YesNoNot Sure
Would you like a Dining Plan included in your vacation package quote? (Available after 9 JAN 24 check in)*

NoQuick Service Dining PlanDisney Dining Plan
What is your total vacation budget not including flights?*

Up to $4,000Up to $6,000Up to $8,000Up to $10,000Up to $12,000Up to $15,000Up to $20,000$20,000 +Other
Do you have any questions, something I should be aware of, or preferences not already covered in this form?
After completing all fields, please click submit. We greatly appreciate the opportunity we have to plan the MOST MAGICAL vacation for you and your family!
Should be Empty: