Disney Vacation Planning Form
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
Facebook Messenger
Other
Would you like to be included on our email list?
*
Yes
No
U.S. Military Involvement?
*
No
No but someone traveling with me is
Yes I am Active Duty
Yes I am Retired
Yes I am a Military Spouse
Other
Preferred Check In Date
*
/
Month
/
Day
Year
Date
Preferred Check Out Date
*
/
Month
/
Day
Year
Date
Select your destination
*
Walt Disney World Resort in Orlando, Florida
Disneyland Resort in Anaheim, California
Both, we want to go coast-to-coast
Are your dates flexible?
*
Yes
No
How many Adults age 18+
*
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.
*
No
Yes = Family Dog
Yes = Service Dog (must have papers)
Please elaborate on any accommodations your traveler(s) Require
For example: Visual Auditory Mobility issues/wheelchair use
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? (check all that apply)
First Disney Trip
Birthday
Anniversary
Graduation
Honeymoon
Family Reunion
Destination Bachelor/Bachelorette Party
Destination Wedding
Other
Type of Travel? (check all that apply)
Family Vacation
Group Travel
Solo Trip
Adults Only Vacation
Girl's Trip
Guy's Trip
Other
How will you get to your destination?
*
Driving
Flying
Flying then Rent-a-Car
Preferred Disney Resort Category? (check all that apply) If a specific resort is desired, please enter it in the box labeled Resort Name.
*
Not Sure
Value
Moderate
Deluxe
Monorail Resort
Skyliner Resort (WDW Resort only)
Disneyland Resort Hotel
On Property
Off Property
N/A - I don't need accommodations, just tickets
Resort Name
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?
*
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 (WDW) or Magic Key Holder (DL)
I will get my tickets from the Military
No Tickets - Hotel Only
Would you like tickets to any special events at Walt Disney World in Florida? (check all that apply)
Mickey's Very Merry Christmas Party (select dates)
Disney Jollywood Nights (select dates)
Mickey's Not-So-Scary Halloween Party (select dates)
Disney After Hours at Magic Kingdom Park (select dates)
Disney After Hours at EPCOT (select dates)
Disney After Hours at Hollywood Studios (select dates)
Disney H2O Glow After Hours at Disney’s Typhoon Lagoon (select dates)
Disney Private VIP Tours
Other
Would you like tickets to any special events at Disneyland in California? (check all that apply)
Disneyland After Dark (select dates)
Disneyland After Dark: Pride Nite (select dates)
Disneyland After Dark: Star Wars Nite (select dates)
Oogie Boogie Bash – A Disney Halloween Party (select dates)
Disneyland Resort VIP Tours (select dates)
Other
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.
*
Yes
No
Would you like a Dining Plan? Please See Dining Plan Descriptions Below. Only available at Walt Disney World Resort in Orlando, Florida.
*
No
Quick Service Plan - 2 Quick-Service Meals, 1 Snack/Nonalcoholic Drink (per night of stay), 1 Resort-Refillable Drink Mug
Disney Dining Plan - 1 Quick-Service Meal, 1 Table-Service Meal, 1 Snack/Nonalcoholic Drink (per night of stay), 1 Resort-Refillable Drink Mug
What is your Total Vacation Budget excluding flights?
*
$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
I would be pleased to assist you with booking the following: (check all that apply)
Dining Reservations
Character Dining Reservations
Allergy Requests
Lightning Lane Single Pass, Multi Pass, and Premier Pass
Stroller Rental
Wheelchair Rental
ECV Rental (electric conveyance vehicles) aka Mobility Scooter
Airport Transfers
Car Rental
Travel Insurance
Other
Are eligible for any of the following discounts? (check all that apply)
Military - Active Duty or Retired US Military ID required
Annual Passholder Discount
Disney Visa Cardholder
Disney+ Subscriber
Florida Resident
California Resident
Other
How soon are you looking to book?
*
I'm ready now!
Within the next 7-10 days
In a few months
Just considering options
Other
Do you have any questions, preferences not covered in this form, or anything else you want me to know?
Submit
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