Disneyland Resort Quote Request Form

Disneyland Resort Quote Request Form
Lead Guest Name*

PrefixFirst NameLast Name
Phone Number*

Area CodePhone Number
Date of Birth *

MonthDayYear
Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Arrival date*

MonthDayYear
Date
Departure date*

MonthDayYear
Date
Please list additional guests and their dates of birth who will be in a room together (for more than 5 guests or separate room requests for a family, please list names and dates of birth in box below)
Guest #2 Name*

PrefixFirst NameLast Name
Date of Birth*

MonthDayYear
Date
Address (please complete if guest is an adult)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number (please complete if guest is an adult)

Area CodePhone Number
Email (please complete if guest is an adult)
example@example.com
Guest #3 Name

PrefixFirst NameLast Name
Date of Birth

MonthDayYear
Date
Address (please complete if guest is an adult)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number (please complete if guest is an adult)

Area CodePhone Number
Email (please complete if guest is an adult)
example@example.com
Guest #4 Name

PrefixFirst NameLast Name
Date of Birth

MonthDayYear
Date
Address (please complete if guest is an adult)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number (please complete if guest is an adult)

Area CodePhone Number
Email (please complete if guest is an adult)
example@example.com
Guest #5 Name

PrefixFirst NameLast Name
Date of Birth

MonthDayYear
Date
Address (please complete if guest is an adult)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number (please complete if guest is an adult)

Area CodePhone Number
Email (please complete if guest is an adult)
example@example.com
LIST ANY ADDITIONAL GUESTS and DATE OF BIRTH BEYOND THE 5 ABOVE WHO WILL BE IN A ROOM WITH YOU AS THIS MAY REQUIRE MULTIPLE ROOMS
Is anyone in your party Active Duty or Retired Military (with ID)? Please list their name below.
Do you, or anyone in your party, have any special needs requests?*
Do you need more than one travel date quoted? Please comment additional dates below:
Have you vacationed at the Disneyland Resort before?*
Will you be celebrating anything special during your vacation? (please list individual name if celebration is not for entire party):*
What is your budget for your Vacation Package?*
Number of Park Ticket Days*
PARK TICKET OPTIONS:

Base Ticket (one park per day)

Enjoy a full day exploring either Disneyland Parks or Disney's California Adventure Park. At this time, theme park reservations are also required.

Park Hopper Ticket

A Park Hopper Ticket allows Guests to visit more than one park per day. Guests must make a theme park reservation for the first park they plan to visit. After entering that first park, Guests will be able to visit the next park starting at 1:00 PM and go between the parks until each park's regularly scheduled closure. The ability to visit a park is subject to the park's capacity limitations. At this time a park reservation is not required after the first park, however, reservation requirements are subject to change.

Base Ticket OR Park Hopper Ticket with Genie + (add on service)

Take Your Day to the Next Level with Disney Genie+ Service
In addition to getting all of the great features that come with the complimentary Disney Genie service, purchasing Disney Genie+ service offers even more convenience and flexibility, starting at $25.00 USD per ticket per day. Prices vary by date.

Disney Genie+ service is available for purchase as an add-on with new ticket or vacation packages before your visit, or as a single-day purchase for existing ticket holders through the Disneyland app on the day of your park visit after park entry. Includes Unlimited Disney PhotoPass Digital Downloads from the Day.
Base ticket (Admission to 1 park per day)Park Hopper ticket (Includes same-day admission to both theme parks)Base ticket and Genie + (this includes your photo pass)Park Hopper ticket and Genie + (this includes your photo pass)No tickets
DISNEYLAND RESORT ON-PROPERTY HOTEL OPTIONS:

DISNEY'S GRAND CALIFORNIAN RESORT & SPA (Deluxe Resort):
- Escape reality at a hotel that defines grandeur at every turn—from premium accommodations and Craftsman-style elegance to Disney’s impeccable service and renowned attention to detail. Hotel Guests can enjoy impressive amenities and rich dining experiences
- Early Entry to the Theme Parks (with park ticket)
- Direct access to Disney California Adventure Park (with park ticket). It’s the ultimate way to enjoy thrill-filled days at the parks!
- Themed Pools
- Award-Winning Dining
- Spa
DISNEYLAND HOTEL (Moderate Resort)
- Become immersed in the spirit of Disneyland past and present! Stay in the Adventure, Fantasy or Frontier tower—each an homage to the park’s original lands—and delight in the sleek, ultra-modern design at every turn.
- Early Entry to the Theme Parks (with park ticket)
- Located just steps from the Downtown Disney District, this hotel is a short stroll to both Disneyland Park and Disney California Adventure Park.
- Themed Pools with waterslides
DISNEY'S PARADISE PIER HOTEL (Value Resort)
- Celebrate the heyday of California beachfront boardwalks at Disney’s Paradise Pier Hotel. Step back in time at this old-fashioned yet modern hotel—home to a variety of shopping and recreation opportunities—and ride a wave of relaxation from your charming seaside-themed room all the way up to the rooftop pool for some welcome fun in the sun.
- Early Entry to the Theme Parks (with park ticket)
- New entry to Disney California Adventure Park (with park ticket) and a short walk to Downtown Disney District and Disneyland Park
- Rooftop Pools with Waterslide
OFF-PROPERTY GOOD NEIGHBOR HOTELS -
- Categories of Suites, Superior, Moderate and Deluxe - they vary in distance to the theme parks and some provide shuttle service for an additional cost. If you want to stay at a good neighbor hotel, please list in the comments section what amenities are important to you in a hotel
Disney's Grand California Resort & SpaDisneyland HotelDisney's Paradise PierType option 4
If applicable, list any specific amenities you want in a good neighbor hotel option:
How many rooms will you need:*
If multiple rooms are requested, please list names of guests per room. Birthdates must be included for anyone under 18. (This is necessary to provide an accurate quote)*
Would you like Travel Protection Insurance added to your quote (currently $82.50 for adults (18+) and $6.00 for children (ages 3-17):*
Flying to John Wayne Airport (Orange County) and a shuttle transportation option quotedFlying to LAX and need a shuttle transportation option quotedFlying to John Wayne Airport (Orange County) and need a rental car quoted (I understand I will pay a daily parking fee directly to the hotel)Flying to LAX and need a rental car quoted (I understand I will pay a daily parking fee directly to the hotel)Flying and will book my own transportationDriving (I understand I will pay a daily parking fee directly to the hotel)
Please note that all offers of prices, package details and itineraries, which may be contained within the quote, are guaranteed only if an offer has been placed on hold with the supplier. Note the expiration date/time of any hold. Once expired, all details of the quote are subject to change. Once your deposit is applied, your reservation will be subject to any cancellation penalty that may apply from the supplier.

Disneyland Resort Vacation packages require a $200 deposit to secure your reservation.
Upon finding the perfect vacation package, are you ready to make your $200 deposit within 2-3 days of receiving a vacation quote proposal?*
What form of payment will you be using for your deposit?*
Any additional comments or questions for me:
Who referred you to Kelly Tansey with Magical Vacation Planner?*
Thank you for submitting your information. I look forward to providing you with a Disneyland Resort vacation quote proposal and look forward to working as you Personal Vacation Advisor.

Kelly Tansey

MVP Team Leader & Personal Vacation Advisor

703-965-4777
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Disneyland Resort Quote Request Form

Please list additional guests and their dates of birth who will be in a room together (for more than 5 guests or separate room requests for a family, please list names and dates of birth in box below)