Contact Information Name* First Last
Email*
Re-Enter Email*
Phone
Have you ever visited Walt Disney World and, if so, how long ago? Please Choose Never 0-3 Years Ago 4-7 Years Ago 8* Years Ago
Travel Dates & Cast of Characters Check-In Date*
Check-Out Date*
Are Your Dates Flexible? Please identify any restrictions on travel dates.
How Many Adults Will Be Traveling?* How many children will be traveling?* Please Choose 0 1 2 3 4 5 6 7 8 9 10
What are the ages of the children?*
Do you need more than one room? Please Choose Yes No
If you want more than one room or if you think you will need more than one room, please list who will be in each room in the comment box below.
Resort Accommodations First Choice - Resort Category* Please Choose Value Resort Moderate Resort Deluxe Resort Deluxe Villa Resort Fort Wilderness Campground
Disney's Value Resorts* Please Choose Disney's All Star Movies Resort Disney's All Star Music Resort Disney's All Star Sports Resort Disney's Pop Century Resort Disney's Art of Animation Resort
Room Type/Category Please Choose Standard Location (Max 4*) Preferred Location (Max 4*)
* = plus one child under 3 in a crib
Pop Century Room Type/Category Please Choose Standard Location (Max 4*) Standard Pool View (Max 4*) Preferred Location (Max 4*) Preferred Pool View (Max 4*)
* = plus one child under 3 in a crib
All Star Music Resort Room Type/Category Please Choose Standard Location (Max 4*) Preferred Location (Max 4*) Family Suite (Max 6*)
* = plus one child under 3 in a crib
Art of Animation Room Type/Category Please Choose Cars Family Suite (Max 6*) Finding Nemo Family Suite (Max 6*) Lion King Family Suite (Max 6*) Little Mermaid Room (Max 4*)
* = plus one child under 3 in a crib
Disney's Moderate Resorts* Please Choose Disney's Caribbean Beach Resort Disney's Coronado Springs Resort Disney's Port Orleans Resort - French Quarter Disney's Port Orleans Resort - Riverside Disney's Cabins at the Fort Wilderness Resort
Caribbean Beach Room Type/Category Please Choose Standard Location/View (Max 4*) Preferred Location (Max 4*) Water View (Max 4*) Pirate Themed - Standard (Max 4*) Pirate Themed - Water View (Max 4*) King Bed (Max 2*)
* = plus one child under 3 in a crib
Coronado Springs Room Type/Category Please Choose Standard View/Location (Max 4*) Preferred Location (Max 4*) Water View (Max 4*) King Bed (Max 2*) Junior Suite (Max 6*) Junior Suite - King (Max 4*) Casitas - 1 Bedroom Suite (Max 6*) 1 Bedroom Suite - King (Max 4*) Casitas - Executive Suite (Max 6*)
* = plus one child under 3 in a crib
Port Orleans French Quarter Room Type/Category Please Choose Standard View (Max 4*) Garden View (Max 4*) - 2012 Only Pool View (Max 4*) River View (Max 4*) King Bed (Max 2*)
* = plus one child under 3 in a crib
Port Orleans Riverside Room Type/Category Please Choose Standard View/Location (Max 5*) Garden View (Max 5*) - 2012 Only Preferred Location (Max 5*) Water View (Max 5*) Royal Room - Standard Room (Max 4* - Opens Spring 2012) Royal Room - Preferred Location (Max 4* - Opens Spring 2012) Royal Room - Water View (Max 4* - Opens Spring 2012) King Bed (Max 2*)
* = plus one child under 3 in a crib
Disney's Deluxe Resorts* Please Choose Disney's Animal Kingdom Lodge Disney's Beach Club Resort Disney's Boardwalk Inn Disney's Contemporary Resort Disney's Grand Floridian Resort & Spa Disney's Polynesian Resort Disney's Wilderness Lodge Disney's Yacht Club
Animal Kingdom Lodge Room Type/Category Please Choose Standard View (Max 4*) Pool View (Max 4*) Pool View w/ Bunk Beds (Max 4*) Savanna View (Max 4*) Savanna View w/ Bunk Beds (Max 4*) Standard Room - Club Level (Max 4*) 1 Bedroom Suite - Club Level (Max 6*) 2 Bedroom Suite - Club Level (Max 8*) Royal Kuba Vice Presidential Suite - Club Level (Max 6*) Royal Asante Presidential Suite - Club Level (Max 8*)
* = plus one child under 3 in a crib
Beach Club Resort Room Type/Category Please Choose Standard View (Max 5*) Garden View (Max 5*) Water or Pool View (Max 5*) Standard View - Club Level (Max 5*) Deluxe Room - Club Level (max 5*) Lagoon View - Club Level (Max 5*) 1 Bedroom Suite - Club Level (Max 3*) 2 Bedroom Suite - Club Level (Max 7*) Nantucket Vice Presidential Suite - Club Level (Max 2*) Newport Presidential Suite - Club Level (Max 4*)
* = plus one child under 3 in a crib
Yacht Club Resort Room Type/Category Please Choose Standard View (Max 5*) Water or Pool View (Max 4*) Garden View - Club Level (Max 5*) Lagoon View - Club Level (Max 4*) Junior Suite - Club Level (Max 4*) Turret Suite - Club Level (Max8*) 2 Bedroom Suite - Club Level (Max 4*) Commodore Vice Presidential Suite - Club Level (Max 6*) Presidential Suite - Club Level (Max 6*) Admiral Suite - Club Level (Max 6*) Captain's Deck Suite - Club Level (Max 6*)
* = plus one child under 3 in a crib
Boardwalk Inn Room Type/Category Please Choose Standard View (Max 5*) Water View (Max 5*) Standard View - Club Level (Max 5*) Deluxe Room - Club Level (Max 6*) Garden Suite - Club Level (Max 4*) 2 Bedroom Suite - Club Level (Accessible) 2 Bedroom Suite - Club Level (Max 8*) Sonora Vice Presidential Suite - Club Level (Max 6*) Steeplechase Presidential Suite - Club Level (Max 6*)
* = plus one child under 3 in a crib
Contemporary Resort Room Type/Category Please Choose Garden Wing - Standard View (Max 5*) Garden Wing - Garden View (Max 5*) Garden Wing - King Bed (Max 3*) Garden Wing - Deluxe Room (Max 4*) Tower - Bay Lake View (Max 5*) Tower - Magic Kingdom View (Max 5*) Standard Room - Atrium Club Level (Max 5*) Standard Room - King - Club Level (Max 3*) Garden Wing - 1 Bedroom Suite (Max 6*) Bay Lake View - 1 Bedroom Suite - Club Level (Max 6*) Magic Kingdom View - 1 Bedroom Suite - Club Level (Max 6*) Bay Lake View - 2 Bedroom Suite - Club Level (Max 10*) Magic Kingdom View - 2 Bedroom Suite - Club Level (Max 10*) Bay Lake View Vice Presidential Suite - Club Level (Max 8*) Magic Kingdom View Presidential Suite - Club Level (Max 8*)
* = plus one child under 3 in a crib
Grand Floridian Resort & Spa Room Type/Category Please Choose Garden View (Max 5*) Lagoon View (Max 5*) Lodge Tower Water View (Max 4*) Magic Kingdom View (Max 5*) Outer Lodge Standard Room - Club Level (Max 5*) Standard Room - Club Level (Max 5*) Honeyroom Room - Club Level (Max 2*) Deluxe Room - Club Level (Max 4*) Deluxe Room - King - Club Level (Max 2*)
* = plus one child under 3 in a crib
Polynesian Resort Room Type/Category Please Choose Standard View (Max 5*) Lagoon View (Max 5*) Magic Kingdom View (Max 5*) Garden View - Club Level (Max 5*) Honeyroom Room - Club Level (Max 2*) Lagoon View - Club Level (Max 5*) 1 Bedroom Suite - Club Level (Max 5*) Princess Suite - Club Level (Max 6*) Ambassador Vice Presidential Suite - Club Level (Max 8*) King Kamehameha Suite - Club Level (Max 8*)
Wilderness Lodge Room Type/Category Please Choose Standard View (Max 4*) Woods View (Max 4*) Woods View w/ Bunk Beds (Max 4*) Courtyard View (Max 4*) Courtyard View w/ Bunk Beds (Max 4*) Standard Room - Club Level (Max 4*) Honeymoon Room - Club Level (Max 2*) Deluxe Room - Club Level (Max 6*) Yosemite Vice Presidential Suite - Club Level (Max 4*) Yellowstone Presidential Suite - Club Level (Max 8*)
* = plus one child under 3 in a crib
Disney's Deluxe Villa Resorts Please Choose Disney's Animal Kingdom Villas Bay Lake Tower at Disney's Contemporary Resort Disney's Beach Club Villas Disney's Boardwalk Villas Disney's Old Key West Resort Disney's Saratoga Springs Resort & Spa Villas at Disney's Wilderness Lodge
Animal Kingdom Villas Room Type/Category Please Choose Studio - Standard View (Max 4*) Studio - Savanna View (Max 4*) 1 Bedroom - Standard View (Max 5*) 1 Bedroom - Savanna View (Max 5*) 2 Bedroom - Savanna View (Max 9*) 3 Bedroom Grand Villa (Max 12*)
Bay Lake Tower Room Type/Category Please Choose Studio (Max 4*) One Bedroom/One Bath Villa (Max 5*) 2 Bedroom/2 Bath Villa - Lock-Off (Max 9*) 2 Bedroom/2 Bath Villa - Dedicated (Max 9*) Three Bedroom/Three Bath (Max 12*)
* = plus one child under 3 in a crib
Beach Club Villas Room Type/Category Please Choose Studio (Max 4*) One Bedroom Villa (Max 4*) Two Bedroom Villa (Max 8*)
* = plus one child under 3 in a crib
Boardwalk Villas Room Type/Category Please Choose Studio (Max 4*) One Bedroom (Max 4*) Two Bedroom (Max 8*) Three bedroom Grand Villas (Max 12*)
* = plus one child under 3 in a crib
Old Key West Resort Room Type/Category Please Choose Studio (Max 4*) One Bedroom Villa (Max 4*) Two Bedroom Villa (Max 8*) Three Bedroom Grand Villa (Max 12*)
* = plus one child under 3 in a crib
Saratoga Springs Resort & Spa Room Type/Category Please Choose Studio (Max 4*) One Bedroom Villa (Max 4*) Two Bedroom Villa (Max 8*) Treehouse (Max 8*) Three Bedroom Grand Villa (Max 12*)
* = plus one child under 3 in a crib
Villas at Wilderness Lodge Room Type/Category Please Choose Studio (Max 4*) One Bedroom Villa (Max 4*) Two Bedroom Villa (Max 8*)
* = plus one child under 3 in a crib
Fort Wilderness Resort Campsite Type/Category Please Choose Tent/Pop-up Hookup Full Hookup Preferred Campsite Premium Campsite
Second Choice - Resort Category Please Choose Value Resort Moderate Resort Deluxe Resort Deluxe Villa Resort Fort Wilderness Campground
Disney's Value Resorts Please Choose Disney's All Star Movies Resort Disney's All Star Music Resort Disney's All Star Sports Resort Disney's Pop Century Resort Disney's Art of Animation Resort
Room Type/Category Please Choose Standard Location(Max 4*) Preferred Location (Max 4*)
* = plus one child under 3 in a crib
All Star Music Room Type/Category Please Choose Standard Location (Max *4) Preferred Location (Max *4) Family Suite (Max 6*)
* = plus one child under 3 in a crib
Pop Century Room Type/Category Please Choose Standard Location (Max 4*) Standard Pool View (Max 4*) Preferred Location (Max 4*) Preferred Pool View (Max 4*)
* = plus one child under 3 in a crib
Art of Animation Room Type/Category Please Choose Cars Family Suite Sleep 6*) Finding Nemo Family Suite (Sleeps 6*) Lion King Family Suite (Sleep 6*) Little Mermaid Room (Sleeps 4*)
* = plus one child under 3 in a crib
Disney's Moderate Resorts Please Choose Disney's Caribbean Beach Resort Disney's Coronado Springs Resort Disney's Port Orleans Resort - French Quarter Disney's Port Orleans Resort - Riverside Cabins at Disney's Fort Wilderness Resort & Campground
Caribbean Beach Resort Room Type/Category Please Choose Standard View/Location (Max 4*) Preferred Location (Max 4*) Water View (Max 4*) King Bed (Max 2*) Pirate Themed - Standard View (Max 4*) Pirate Themed - Water View (Max 4*)
Coronado Springs Resort Room Type/Category Please Choose Standard View/Location (Max 4*) Preferred Location (Max 4*) Water View (Max 4*) King Bed (Max 2*) Junior Suite (Max 6*) Junior Suite - King Bed (Max 4*) Casitas - 1 Bedroom Suite (Max 6*) 1 Bedroom Suite - King (Max 4*) Casitas - Executive Suite (Max 6*)
* = plus one child under 3 in a crib
Port Orleans French Quarter Room Type/Category Please Choose Standard View (Max 4*) Garden View (Max 4*) - 2012 Only Water View (Max 4*) King Bed (Max 2*)
* = plus one child under 3 in a crib
Port Orleans Riverside Room Type/Category Please Choose Standard View/Location (Max 5*) Garden View (Max 5*) - 2012 Only Preferred Location (Max 5*) Water View (Max 5*) Royal Room - Standard Room (Max 4* - Opens Spring 2012) Royal Room - Preferred Location (Max 4* - Opens Spring 2012) Royal Room - Water View (Max 4* - Opens Spring 2012) King Bed (Max 2*)
* = plus one child under 3 in a crib
Disney's Deluxe Resorts Please Choose Disney's Animal Kingdom Lodge Disney's Beach Club Resort Disney's Boardwalk Inn Disney's Contemporary Resort Disney's Grand Floridian Resort & Spa Disney's Polynesian Resort Disney's Wilderness Lodge Disney's Yacht Club Resort
Animal Kingdom Lodge Room Type/Category Please Choose Standard View (Max 4*) Pool View (Max 4*) Pool View w/ Bunk Beds (Max 4*) Savanna View (Max 4*) Savanna View w/ Bunk Beds (Max 4*) Standard Room - Club Level (Max 4*) 1 Bedroom Suite - Club Level (Max 6*) 2 Bedroom Suite - Club Level (Max 8*) Royal Kuba Vice Presidential Suite - Club Level (Max 6*) Royal Asante Presidential Suite - Club Level (Max 8*)
* = plus one child under 3 in a crib
Beach Club Resort Room Type/Category Please Choose Standard View (Max 5*) Garden View (Max 5*) Water View (Max 5*) Standard View - Club Level (Max 5*) Lagoon View - Club Level (Max 4*) Deluxe Room - Club Level (Max 5*) 1 Bedroom Suite - Club Level (Max 3*) 2 Bedroom Suite - Club Level (Max 7*) Nantucket Vice Presidential Suite - Club Level (Max 2*) Newport Presidential Suite - Club Level (Max 4*)
* = plus one child under 3 in a crib
Yacht Club Resort Room Type/Category Please Choose Standard View (Max 5*) Water or Pool View (Max 5*) Garden View - Club Level (Max 5*) Lagoon View - Club Level (Max 4*) Turret Suite - Club Level (Max 8*) Junior Suite - Club Level (Max 4*) 2 Bedroom Suite - Club Level (Max 4*) Commodore Vice Presidential Suite - Club Level (Max 6*) Presidential Suite - Club Level (Max 6*) Admiral Suite - Club Level (Max 6*) Captain's Deck Suite - Club Level (Max 6*)
* = plus one child under 3 in a crib
Boardwalk Inn Room Type/Category Please Choose Standard View (Max 5*) Water View (Max 5*) Standard Room - Club Level (Max 5*) Deluxe Room - Club Level (Max 6*) Garden Suite - Club Level (Max 4*) 2 Bedroom Suite - Club Level (Max 8*) Sonora Vice Presidential Suite - Club Level (Max 6*) Steeplechase Presidential Suite - Club Level (Max 6*)
* = plus one child under 3 in a crib
Contemporary Resort Room Type/Category Please Choose Garden Wing - Standard View (Max 5*) Garden Wing - Garden View (Max 5*) Garden Wing - King (Max 3*) Garden Wing - Deluxe Room (Max 4*) Tower - Bay Lake View (Max 5*) Tower - Magic Kingdom View (Max 5*) Standard Room - Atrium Club Level (Max 5*) Standard Room - King - Club Level (Max 3*) Standard Room - Club Level (Max 4*) (M Garden Wing - 1 Bedroom Suite (Max 6*) Bay Lake View - 1 Bedroom Suite - Club Level (Max 6*) Theme Park View - 1 Bedroom Suite - Club Level (Max 6*) Bay Lake View - 2 Bedroom Suite - Club Level (Max 10*) Theme Park View - 2 Bedroom Suite - Club Level (Max 10*) Bay Lake View Vice Presidential Suite - Club Level (Max 8*) Magic Kingdom View Presidential Suite - Club Level (Max 8*)
* = plus one child under 3 in a crib
Grand Floridian Resort & Spa Room Type/Category Please Choose Garden View (Max 5*) Lagoon View (Max 5*) Lodge Tower Water View (Max 4*) Theme Park View (Max 5*) Outer Lodge Standard Room - Club Level (Max 5*) Standard Room - Club Level (Max 5*) Honeymoon Room - Club Level (Max 2*) Deluxe Room - Club Level (Max 4*) Deluxe Room - King - Club Level (Max 2*)
* = plus one child under 3 in a crib
Polynesian Resort Room Type/Category Please Choose Standard View (Max 5*) Lagoon View (Max 5*) Magic Kingdom View (Max 5*) Garden View - Club Level (Max 5*) Honeymoon Room - Club Level (Max 2*) Lagoon View - Club Level (Max 5*) 1 Bedroom Suite - Club Level (Max 5*) Princess Suite - Club Level (Max 6*) Ambassador Vice Presidential Suite - Club Level (Max 8*) King Kamehameha Suite - Club Level (Max 8*)
* = plus one child under 3 in a crib.
Wilderness Lodge Room Type/Category Please Choose Standard View (Max 4*) Woods View (Max 4*) Woods View w/ Bunk Beds (Max 4*) Courtyard View (Max 4*) Courtyard View w/ Bunk Beds (Max 4*) Standard Room - Club Level (Max 4*) Honeymoon Room - Club Level (Max 2*) Deluxe Room - Club Level (Max 6*) Yosemite Vice Presidential Suite - Club Level (Max 4*) Yellowstone Presidential Suite - Club Level (Max 8*)
* = plus one child under 3 in a crib
Disney's Deluxe Villa Resorts Please Choose Disney's Animal Kingdom Villas Bay Lake Tower at Disney's Contemporary Resort Disney's Beach Club Villas Disney's Boardwalk Villas Disney's Old Key West Resort Disney's Saratoga Springs Resort & Spa Villas at Disney's Wilderness Lodge
Animal Kingdom Villas Room Type/Category Please Choose Studio - Standard View (Max 4*) Studio - Savanna View (Max 4*) 1 Bedroom - Standard View (Max 5*) 1 Bedroom - Savanna View (Max 5*) 2 Bedroom - Savanna View (Max 9*) 3 Bedroom Grand Villas (Max 12*)
* = plus one child under 3 in a crib
Bay Lake Tower at Contemporary Resort room Type/Category Please Choose Studio (Max 4*) One Bedroom/One Bath Villa (Max 5*) 2 Bedroom/2 Bath Villa (Max 9*) Three Bedroom/Three Bath Villas (Max 12*)
* = plus one child under 3 in a crib
Beach Club Villas Room Type/Category Please Choose Studio (Max 4) One Bedroom (Max 4) Two Bedroom (Max 8)
* = plus one child under 3 in a crib
Old Key West Resort Room Type/Category Please Choose Studio (Max 4*) One Bedroom (Max 4*) Two Bedroom (Max 8*) 3 Bedroom Grand Villa (Max 12*)
* = plus one child under 3 in a crib
Boardwalk Villas Please Choose Studios (Max 4*) One Bedroom (Max 4*) Two Bedroom (Max 8*) Three Bedroom Grand Villas (Max 12*)
* = plus one child under 3 in a crib
Saratoga Springs Resort & Spa Room Type/Category Please Choose Studio (Max 4*) One Bedroom Villa (Max 4*) Two Bedroom Villa (Max 8*) Treehouse (Max 8*) Three Bedroom Grand Villa (Max 12*)
* = plus one child under 3 in a crib
Villas at Wilderness Lodge Room Type/Category Please Choose Studio (Max 4*) One Bedroom Villa (Max 4*) Two Bedroom Villas (Max 8*)
* = plus one child under 3 in a crib
Fort Wilderness Resort Campsite Type/Category Please Choose Tent/Pop-up Hookup Full Hookup Preferred Campsite Premium Campsite
Tickets & Packages How many days do you plan to visit Disney's four main Theme Parks?* Please Choose 0 1 2 3 4 5 6 7 8 9 10
Would you like to add the Park Hopping Option to your Park Admission? The Park Hopping Option allows guests to visit 2 unique theme parks in one calendar day. The cost to add this option to your park admission is $58.58 per guest age 3 and older (regardless of the length of stay).
Would you like to add the Water Park Fun & More Option to your Park Admission? The Water Park Fun & More Option allows guests to visit Disney's 2 Water Parks as well as DisneyQuest (a Virtual Arcade) and a 9-hole round of Golf at Oak Trail. The cost to add this option to your park admission is $58.58 per guest age 3 and older (regardless of the length of stay).
What type of Magic Your Way Package would you like to book? Please Choose I'd Like A Sampling of Options Magic Your Way Base Package Magic Your Way Package w/ Quick Service Dining Plan Magic Your Way Package Plus Dining Plan Magic Your Way Package Plus Deluxe Dining Plan Magic Your Way Premium Package Magic Your Way Platinum Package
What type of transportation options would you like? Please Choose Disney's Magical Express (Complimentary) Rental Car Private Town Car/Limo None
Potential Discount Eligibility (Please Select All That Apply) Is anyone in your party Active or Retired Military? Military ID required at check-in.
Is anyone in your party a Florida Resident? Proof of residency required at check-in.
Is anyone in your party an Annual Passholder? AP Cardholder Name
Please provide the name of the AP Passholder as well as the card number below so we can provide you with an accurate quote.
AP Cardholder
Have you received a Discount Pin Code from Disney for a Special Offer? Please provide the Pin Code listed on the offer.
As each Pin Code is individually assigned, the actual Code is necessary to process an accurate quote.
Please Tell Us How did you learn about Mouse Counselors? Please Choose I'm a Past Client Referral Facebook Twitter Google Other
Please let us know by whom so we can thank them!
Other (Please Describe)
If you are already working with one of our Counselors, please choose him or her from the drop-down menu. Please Choose Allison J. Bethany C. Gina C. Holly A. Jason A. Katrina P. Phil M. Stacy F. Treena M.
Questions, Comments & Additional Information
Special Occasions: Please list below any special occasions you will be celebrating while on your vacation.
Groups: Please list your party’s breakdown per room. Include how many adults and how many children along with the children's ages that will be in each room.
Memories Vacation Package with Free Dining Plan |