Disney Vacation Planning Form

Disney Vacation Planning Form
Name

First NameLast 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)

Other
Would you like to be included on our email list?
U.S. Military Involvement?

Other
Preferred Check In Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred Check Out Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Select your destination
Are your dates flexible?
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.
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)

Other
Type of Travel? (check all that apply)

Other
How will you get to your destination?
Preferred Disney Resort Category? (check all that apply) If a specific resort is desired, please enter it in the box labeled Resort Name.

Resort Name
Any resort room preferences? (check all that apply)

Other
How many park days would you like?
Type of Park Ticket Requested?
Would you like tickets to any special events at Walt Disney World in Florida? (check all that apply)

Other
Would you like tickets to any special events at Disneyland in California? (check all that apply)

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.
Would you like a Dining Plan? Please See Dining Plan Descriptions Below. Only available at Walt Disney World Resort in Orlando, Florida.
What is your Total Vacation Budget excluding flights?

Other
I would be pleased to assist you with booking the following: (check all that apply)

Other
Are eligible for any of the following discounts? (check all that apply)

Other
How soon are you looking to book?

Other
Do you have any questions, preferences not covered in this form, or anything else you want me to know?
Should be Empty: