Disney World Vacation Planning Form
Let the magic begin!!
Primary Contact Information
Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Travel Party Details
Total # of Travelers
*
# of Adults (18+)
*
# of Children (17 & under)
*
Name & Ages of Children (required for tickets, dining & Genie+ planning)
Trip Details
Arrival Date
*
-
Month
-
Day
Year
Date
Departure Date
*
-
Month
-
Day
Year
Date
Are these dates flexible?
*
Yes
No
Are you celebrating anything special?
Birthday
Anniversary
Honeymoon
First Disney Trip
Other
If not listed above, what are you celebrating?
Disney Park Preferences
Which parks do you want to visit? (Select all that apply)
*
Magic Kingdom
EPCOT
Hollywood Studios
Animal Kingdom
How many park days do you want?
*
Park Hopper tickets
*
Yes
No
Not Sure
Resort & Accommodation Preferences
Preferred Resort Category
*
Value
Moderate
Deluxe
Off-Site Hotel
Off-Site Home/Condo/BnB
Preferred Disney resort (if any):
Room Type needed
*
Standard
Preferred View
Suite
Connecting Rooms
Dining & Experiences
Disney Dining plan?
*
Yes
No
Not Sure
Character Dining interest?
*
Yes
No
Not Sure
Special Dining Requests
Food Allergies
Vegetarian/Vegan
Birthday Cake
Signature Dining
Other
Genie+ & Special Experiences
Interested in Genie+ & Lightning Lane Planning?
Yes
No
Interested in any of the following? (Select all that apply)
Bibbidi Bobbidi Boutique
Dessert Parties
Droid Depot/Lightsaber Building
Fireworks Viewing
After Hours EVents
Budget & Payment
Estimated Budget Range (Total)
*
Are you interested in a payment plan?
*
Yes
No
Would you like Vacation Protection/Insurance?
*
Yes (RECOMMENDED)
No - I understand that I will forfeit money paid if vacation is cancelled.
Transportation
Flight Assistance needed?
*
Yes
No
Airport Preference (if flying):
Transportation Needs
Disney Transportation Only
Rental Car
Private Transportation
Additional Information
Have you been to Disney World before?
*
Yes
No
Anything else you would like me to know while planning this trip?
Consent & Acknowledgement
Please acknowledge each of the following:
*
I understand that pricing is subject to change until a deposit is made.
I understand that my Travel Agent acts as an intermediary me and the vacation supplier.
I understand that vacation protection is needed to guarantee any refund in case of cancellation.
Today's Date
*
-
Month
-
Day
Year
Date
My Products
*
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Disney Planning Fee (1-5 Travelers)
This fee is for my time researching, planning, communicating and booking your cruise services.
$25.00
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Disney Planning Fee (6 - 10)
This fee is for my time researching, planning, communicating and booking your cruise services.
$50.00
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Disney Planning Fee (11 - 20)
This fee is for my time researching, planning, communicating and booking your cruise services.
$80.00
$
80.00
Quantity
1
2
3
4
5
6
7
8
9
10
Disney Planning Fee (21 - 30)
This fee is for my time researching, planning, communicating and booking your cruise services.
$150.00
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
Disney Planning Fee (31+)
This fee is for my time researching, planning, communicating and booking your cruise services.
$200.00
$
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
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