Disneyland Vacation Planning with Jessica Shaw!
Thank you for contacting me to work together to plan your next Disneyland vacation! I pride myself in planning unique personalized vacations that will help create lasting memories for you and your party! I am so excited to begin working with you! Once the form is completed and submitted please allow 3-5 days for a customized vacation quote based on your party's desires!
Name
*
First Name
Last Name
What state do you live in?
*
Email
*
example@example.com
Phone Number
Format: (000) 000-0000.
Preferred Method of Contact. Check all that apply.
*
Email
Phone Call
Text Message
Have you ever been to Disneyland in California before?
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No
Yes
Preferred Check In Date
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/
Month
/
Day
Year
Preferred Check Out Date
*
/
Month
/
Day
Year
Date
Are your dates flexible?
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Yes
No
How many Adults age 18+
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Age as of Check In Date
How many Children age 10-17
*
Age as of Check In Date
How many Children age 3-9
*
Age as of Check In Date
How many Children age 0-2
*
Age as of Check In Date
Are you bringing any dogs? Please note: a maximum of 2 dogs are allowed per guest room at select Disney Resorts. Breed, Weight Restrictions, and pet fees apply.
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No
Yes = Family Dog
Yes = Service Dog (must have papers)
If multiple rooms are needed, how would you like to be split? If anyone is Military or bringing a dog, please indicate which room they will be in. If multiple rooms are not needed, put N/A in this box.
*
Example: Room 1 = 2 adults, 5 year old & 1 family dog / Room 2 (military) = 2 adults & 2 kids age 12 & 4 / we prefer a large villa that will sleep everyone / Etc.
Any Celebrations?
No
Birthday
Anniversary
Graduation
Other
Type of Travel? Check all that apply.
*
Family Vacation
Group Travel
Solo Trip
Adults Only Vacation
Girl's Trip
Guy's Trip
Honeymoon
Other
Do you know what Disneyland Resort Hotel you would prefer to stay in?
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Disney's Grand Californian Hotel and Spa
Disneyland Hotel
Pixar Place Hotel
One of Disney's Good Neighbor Hotels
Any resort room preferences? - Check all that apply.
Club Level
Handicap Accessible Room
Themed Room
Standard Size Room
Suite/Villa
Kitchenette
Full Kitchen
Washer/Dryer in Room
Standard View (parking lot)
Courtyard/Garden/Woods View
Water/Pool View
Theme Park View
Other
How many park days would you like?
Type of Park Ticket Requested?
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Base Ticket (1 theme park per day)
Park Hopper Ticket (ability to visit multiple theme parks on the same day)
Park Hopper Plus Ticket (park hopper feature with water parks included)
Water Park Tickets Only
I'm an Annual Passholder
I will get my tickets from the Military
Would you like Memory Maker? This is the inclusion of all photos & videos taken on select attractions or by Disney Photographers in the parks as well as magic shots.
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Yes
No
Would you like a Dining Plan? Please See Dining Plan Descriptions Below.
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No
Quick Service Plan
Disney Dining Plan
Deluxe Dining Plan
What is your Total Vacation Budget excluding flights?
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$2,000 - $4,000
$4,000-$6,000
$6,000-$8,000
$8,000-$10,000
$10,000-$12,000
$12,000-$15,000
$15,000+
Other
Check all that apply:
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Disney+ Subscriber
Disney Visa Card Holder
Disney Vacation Club Member
Military (Active or Retired)
Disneyland Annual Pass Holder
Florida Resident
Do you have any questions, preferences not covered in this form, or anything else you want me to know?
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What is on your Disneyland bucket list?
How did you hear about my services?
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Submit
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