Magical Accessibility Information Form

Let's start off with some basic information!

I want to be able to get a feel of what you are looking for to better assist you in booking the most MAGICAL vacation for you and your family! Let's create some magic!
What type of Vacation are you considering? (Check all that apply)*

Walt Disney WorldDisneylandDisney's Aulani Resort and SpaDisney Cruise LineUniversal Studios OrlandoUniversal Studios HollywoodAdventures By Disney
What part of your vacation still needs to be booked? (Mark all that apply)

Resort AccommodationsStateroom Accommodations (Disney Cruise Line Only)Theme Park TicketsGround TransportationFlightsOther
If you chose "other,"what planning have you already done*
Please share as many details as you can here. Helpful information includes: travel dates, how many adults, how many children & their ages at the time of travel, if you have preferred resorts and any other specific details, needs, or requests.
What basic accommodations do you need?*

Hearing Assistive TechnologySign Language InterpreterVision Assistive TechnologyWheel Chair Accessible RoomSensory Friendly AreasMedical Equipment AssistanceDietary RestrictionsNoneOther (please fill out below)
If you chose other, what other accommodations do you need?
Tell me a little more, what specific accommodations do you or your family need?*
Any accommodations you might need while vacationing at your preferred location, similar to above but more specific. If none, type NA.
How did you hear about me?

Recommended by a family member or friendI know you personallyReferral from pervious clientSocial Media (i.e. Instagram or Facebook)AdvertisementOnline SerchOther (be specific in next question)
If you chose other, how did you hear about me?
What stage in the planning process are you?*

Dreaming - just getting started, not sure where to beginCurious about information and pricing so we can make decisions on moving forwardAction - Ready to book and get our countdown started
Name*

FirstLast
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Please verify that you are human*
Should be Empty:

Let's start off with some basic information!