EmailMe Form - Disneyland

Personal Information

This information will only be used to contact you regarding your quote request.

Name *

First Last

Email *

Phone *

### - ### - ####

Reservation information

Preferred Arrival Date *

MM / DD / YYYY

Preferred Departure Date *

MM / DD / YYYY

Are your dates flexible? *

Yes

Maybe, please contact me with options.

No

Sometimes preferred dates are not available, but some flexibility results in openings.

Number of travelers ages 18 and older (at time of travel) *

Number of travelers ages 10-17 (at time of travel)

At Disneyland, children ages 10 and older are considered "adults" for pricing purposes.

Number of travelers ages 3-9 (at time of travel)

Number of travelers younger than age 3 (at time of travel)

Children younger than age 3 do not need park tickets, but do need to be counted in the resort reservation.

Ages, genders, and interests of travelers:

This information will help determine the best options for your travel party.

Resort Information

Optional: Lack of response will result in use of the general quote options.

Which type of hotel interests you?

Disneyland Resort Hotel - on Disneyland property

Good Neighbor Hotel - near Disneyland, but not owned by Disney

General quotes include pricing information on multiple categories for comparison, depending on budget.

Which type of room interests you? Choose all that apply:

Economy

Moderate

Superior

Suite

Deluxe Villa

General quotes include pricing information on multiple categories for comparison, depending on travelers and budget.

Have you heard of any particular hotel that interests you? Which one(s)?

Please check any special needs you may have:

Handicapped accessible

Allergies

Other

Please provide details in the other information/comments/questions section found at the end of this form.

Park Pass/Dining Information

Optional: Lack of response will result in use of the general quote options.

Are you interested in additional park pass options?

Magic Morning - early admission to Disneyland on 1 day of stay, minimum 3-day pass required

Southern California Pass - Disneyland plus Universal and Sea World

Annual Passport

General quotes are completed using the Park Hopper option, in order to offer flexibility.

Are you interested in paying for character meals in advance by purchasing a Dining Plan?

Yes

No

Maybe, I need more information.

General quotes are completed WITHOUT character meal option.

Additional information

Please add other important information here.

Are you interested in air transportation? *

If interested in air transportation, please give your departure airport and/or city.

You must provide this information if you answered "Yes" above. Flight prices cannot be quoted without this information.

What is your maximum budget?

$ Dollars

Including resort, park passes, and dining. Include air transportation if indicated above. This will result in a quote that better fits your needs.

Are you eligible for any of the following discounts offered by Disneyland?

U.S. Military - active or retired with military ID

Southern California resident

Discounts are limited and based on availability.

Other information/comments/questions:

Please add any other information, including clarification of previous responses.