Disney Vacation Client Intake Form
Please provide your details and preferences to help plan your magical Disney vacation.
Contact Information
Full Name
*
First Name
Last Name
Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Method of Contact
*
Email
Phone Call
Text Message
Other
Travel Information
Please answer all questions with as much detail as possible.
Are there any children in your party?
*
Yes
No
Please provide the names and ages of all travelers in your party (including yourself).
*
Desired Disney Destination
*
Walt Disney World Resort (Florida)
Disneyland Resort (California)
Disney Cruise Line
Other Disney Destination
Preferred Travel Dates (Please enter in MM-DD-YYYY format)
Are your travel dates flexible?
*
Yes
No
If flexible, please specify your range or alternative dates.
Approximate Budget Range for the Entire Trip Excluding Airfare (USD)
*
Resort Preferences
*
Value Resort
Moderate Resort
Deluxe Resort
No Preference
Please describe your room preferences including amenities, style/theming, views, and any other pertinent information. Note: If you are not traveling to Walt Disney World, please provide as much details on room preferences to better understand your needs as possible.
Park Days and Ticket Preferences
*
Single Park Per Day Ticket
Park Hopper Option
Water Park Ticket
Special Event Ticket (e.g., Mickey’s Not-So-Scary Halloween Party)
Not Sure Yet
Other
How many days would you like to spend in the parks?
*
Are you celebrating any special occasions during your trip? (e.g., birthday, anniversary)
Has your family visited a Disney destination before?
*
Yes
No
If yes, please share details of your previous visits.
Dining Preferences or Must-Try Experiences
Key Interests or Must-Do Activities (e.g., character dining, thrill rides, shows)
Do you need assistance with transportation (flights, ground transfers, etc.)?
*
Yes
No
Not Sure Yet
Please share any details or preferences regarding transportation.
Do you have any allergy concerns? Specifically, gluten free or other allergies? Please specify other allergies if any.
Are there any mobility, accessibility, or medical considerations we should be aware of?
Please provide any other details you think are important in planning your dream vacation.
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