Disney Cruise Line Guest Intake Form
Magic Mom Travel LLC
Name
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Email Address
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Phone Number
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If you are a current Castaway Club Member, what level are you?
We are new to Disney Cruise Line vacations!
Silver (1-4 Disney cruises completed)
Gold (5-9 Disney cruises completed)
Platinum (10- 24 Disney cruises completed)
Pearl (25+ Disney cruises completed)
Do you have a specific dates in mind to travel? If no specific dates, please list the dates closest to when you would like to go for the most accurate quote.
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What is your ideal cruise length?
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3 nights
4 nights (recommended minimum)
5-6 nights
7 nights
8-13 nights
14+ nights
What destinations are you interested in sailing to? (Select up to three)
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Alaska
Bahamas
Caribbean
Europe
Hawai'i
Mexico
New Zealand and Australia
Pacific
South Pacific
Transatlantic
Disney's Castaway Cay
Disney's Lookout Cay at Lighthouse Point
What is your preferred departure port?
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Auckland, New Zealand
Barcelona, Spain
Brisbane, Australia
Civitavecchia (Rome), Italy
Fort Lauderdale, Florida
Galveston, Texas
Honolulu, Hawaii
Melbourne, Australia
New Orleans, Louisiana
Port Canaveral, Florida
San Diego, California
San Juan, Puerto Rico
Southampton, England
Vancouver (British Columbia), Canada
Sydney, Australia
What best describes your stateroom preference?
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Inside Stateroom (no windows) ($)
Oceanview Stateroom (window with view of the ocean) ($$)
Stateroom with Verandah (balcony overlooking the ocean) ($$$)
Concierge Stateroom (specialty category with enhanced services and benefits) ($$$$)
Concierge Suite (offers multiple bedroom options and specialty services) ($$$$$)
What is important to you in your accommodations?
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Do you have a ship you prefer?
No preference
Disney Adventure (sailing December 2025)
Disney Destiny (sailing in November 2025)
Disney Dream
Disney Fantasy
Disney Magic
Disney Treasure
Disney Wish
Disney Wonder
Are you interested in any of these themed cruises?
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Marvel Day at Sea
Pixar Day at Sea
Halloween on the High Seas
Very Merrytime
We prefer a "normal" sailing
No preference
What is MOST important to you when considering your cruise options?
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Sailing within our preferred dates
Sailing on our preferred ship
Sailing from our preferred port
Sailing for our preferred cruise length
Staying within our budget
Sailing on a themed sailing
What is your budget for this vacation? (excluding airfare)
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Is you budget flexible if it means taking the kind of vacation you prefer?
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Yes
No
How many adults (age 18+) will be in your party?
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How many children (age 10-17) will be in your party?
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How many children (age 3-9) will be in your party?
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How many children (age infant-2) will be in your party?
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How many staterooms will you be needing?
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If more than one stateroom, please specify which guests will be in each room. For example, room 1- 2 adults, 1 5 year old, room 2- 1 adult, 2 kids ages 6 & 9
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Would you like to include Vacation Protection Insurance in your quote?
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Yes
No
Will you need airport transportation?
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Yes
No
Will you need a pre or post-cruise resort stay? We recommend flying out at least 1 night prior to your cruise sailing date.
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Pre-cruise
Post-Cruise
None needed
Please note any additional information regarding your family or trip that I may need to be made aware of, in order to help make your trip a successful one.
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Are you currently working with another agent? Please note we all have access to the same pricing, and our company remains ethical integrity by not competing with other travel professionals.
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Yes
No
Are you prepared to place a deposit and secure your trip once your quote is provided?
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Yes
No
How did you hear about Magic Mom Travel?
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