Traveler 1

First Name

Preferred Name(Optional)

Middle Name(Optional)

Last Name

Birthday

Food, Drink & Allergy Preferences

How long would you like to sail (select all of the options you're interested in)

3 night sailings (typically over the weekend)

4 night sailings (typically on weekdays)

5 night sailings

7 night sailings

8+ night sailings

Castaway Club Status

Silver (I've sailed on 1 or more Disney cruises)

Gold (I've sailed on 5 or more Disney cruises)

Platinum (I've sailed on 10 or more Disney cruises)

Pearl (I've sailed on 25 or more Disney cruises)

Not yet a member (This will be my first Disney cruise!)

Preferred Stateroom Type

Verandah Stateroom on the Disney Wish (note that staterooms vary by ship and location)

Oceanview Stateroom on the Disney Wish (note that staterooms vary by ship and location)

Inside Stateroom on the Disney Wish (note that staterooms vary by ship and location)

Preferred Stateroom Type(Optional)

Verandah (Balcony facing the ocean)

Oceanview (Porthole/window facing the ocean)

Inside (No window in stateroom)

I'm not sure, let's talk about it!

Are you interested in a family stateroom (larger room with more space or an extended balcony)(Optional)

Yes

I'm not sure, let's talk about it!

Are you interested in concierge service? (priority reservations and boarding, access to a concierge lounge with complimentary snacks and drinks, and dedicated concierge hosts)(Optional)

Yes

I'm not sure, let's talk about it!

Which ports are you open to sailing out of?

Port Canaveral, FL (Orlando)

Fort Lauderdale, FL

Galveston, TX (Nov 2025 - April 2026 only)

San Diego, CA (March - May 2026 only)

San Juan, PR (Oct - Nov 2025 only)

Europe (Rome, Barcelona, or Southampton)

Vancouver (Alaska sailings)

Hawaii, Singapore, Australia, or New Zealand

Would you like to add on a Walt Disney World vacation before or after this sailing? (Florida departures only)(Optional)

Yes

I'm not sure, let's talk about it!

Do you have a preferred dining time?

5:45PM (Eat dinner first, then attend the show)

8:15PM (Attend the show first, then eat dinner)

I'm not sure, let's talk about it!

Are you eligible for any of the following discounts?(Optional)

Florida Resident

Canada Resident

U.S. Military

Disney+ Subscriber

Disney Chase Visa Cardholder

I want to help you make this vacation as special as possible, please let me know as much information as possible so that we can customize a perfect trip for you and your family!

What type of vacation planner are you?

I'd like to be completely hands off, the more you can do the better!

I love to plan and research, but I'd love lots of insider tips and tricks from the Disney expert!

I like to plan some, but I'd appreciate some help along the way!

Disney Cruise Trip Request Form

Castaway Club Status

Preferred Stateroom Type

Your Advisor