Name * First Name Last Name Email * Phone * (###) ### #### Check-In Date * MM DD YYYY Check-Out Date * MM DD YYYY Adults 10 & Up * 0 1 2 3 4 5 6 7 8 Children 3-9 * 0 1 2 3 4 5 6 7 8 Hotel Category If you want a specific hotel, please list it below. Disneyland Hotel Disney's Paradise Pier Hotel Disney's Grand Californian Hotel & Spa Hotel Name Include the type of room you'd like if known. Park Tickets * How many days would you like to go into the Parks? 1 Day 2 Days 3 Days 4 Days 5 Days Ticket Options * 1 Park per Day Park Hopper Any other information I should know? Which of the following applies to you? * I'm just curious and would like more information about prices! I am ready to book/plan my trip! Let's get started! How did you hear about me? * Thank you so much! I will review your information and reach out soon! DISNEYLAND RESORT DISNEYLAND RESORT DISNEYLAND RESORT