Disneyland® Grad Nite 2012 Preferred Date Request Form

More time with friends, more flexibility and private party for celebrating this one-in-a-lifetime experience with other seniors. Don’t miss this celebration, remember these dates fill up fast. Questions? Please call us at (800) 232-7980 Monday - Friday from 9 am to 5 pm PST, or email dlr.lead.dept@disney.com.
 

Fill Out All Appropriate Fields And Click "Submit" OR Click Here To Download A Printable PDF

 
*  Indicates a Required Field
 
PREFERRED EVENT DATE
 
Since requested date cannot be guaranteed, please provide us with your first and second choices of dates.
To do this, please select your first and second date choices below.
 
Available Disneyland® Grad Nite 2012 Date *

↑ Please select a date ↑
Disneyland® Grad Nite 2012 Date Preference 2 *

↑ Please select a date ↑
 
 
OFFICIAL SCHOOL / GROUP INFORMATION
 
 
Official School / Group Name *  
↑ Required ↑
Street Address *  
↑ Required ↑
 
City *  
↑ Required ↑
State *  
↑ Required ↑
Zip *  
↑ Required ↑
County / Region / Province / District *  
↑ Required ↑
 
School Phone Number with area code *  
↑ Required ↑
School Fax Number with area code  
 
School Graduation Date *  
↑ Required ↑
Senior Class Size *  
↑ Required ↑
 
Official School / Group Website *  
↑ Required ↑
 
ARRIVAL TYPE *
School Bus
Private Bus
Walk-On
Other
↑ Please make a selection ↑
Estimated Number that will attend:
Students *  
↑ Required ↑		 Guests *  
↑ Required ↑		 Chaperones *  
↑ Required ↑
 
TO BE COMPLETED BY TRAVEL PLANNER, SCHOOL OR GROUP GRAD NITE CHAIRPERSON
 
Travel Planner / Official School or Group Name  
 
Travel Planner / School or Group Grad Nite Chairperson Name  
Title  
 
Day Phone Number with area code  
Cell Phone Number with area code  
 
Email Address (permission granted to follow-up with electronic corresponence  
↑ Invalid email format ↑
 
Street Address (no p.o. boxes, please) where event communication, event tickets is mailed if different than official school / group  
 
City  
State  
Zip  
 
† Disneyland® Grad Nite 2012 Event Ticket = $61
Includes: Disneyland® Resort 1-Day Park Hopper ticket, admission to Disneyland® Park and Disney California Adventure™ Park on the same day, including re-entry privileges. Exclusive Showing of Fantasmic!, Two (2) Disney's FASTPASS® tickets and Private Party in Disneyland® Park after park closing.
 
EVENT GUIDELINES
• Attendance for ALL Events is limited.
• Tickets are available on first-come, first-served basis. Tickets must be purchased in advance and at least 45 days prior to your event to guarantee your participation.
• Minimum purchase of ten (10) student tickets required to attend.
• Acknowledgement of your event date will be sent via email.
• Arrive and enter with your school anytime during park hours.
• Bus Parking is Complimentary.
• No Will Call.
 
CHAPERONE ADMISSION
• Groups with 40-99 students may receive up to 4 complimentary chaperone tickets
• Groups with 100 students or more receive complimentary chaperone tickets based on a 1:20 ratio
• Additional Chaperone tickets can be purchased at the student price in order to attend

† Disneyland® Grad Nite Ticket is only valid on day of event. Participants must have a Disneyland® Grad Nite Ticket as a valid form of admission. Entry cannot be combined with any other Park Offers, complimentary ticket or annual Passports.
Visit www.Disneyland.com for Disney’s FASTPASS® Service and Guest Services park hours and event schedules. Park hours, offers, events, services, attractions, and entertainment may be seasonal and are subject to change without notice.
 
 
Signature *  
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Your Email Address *  
↑ Required ↑ ↑ Invalid email format ↑
 
 
 
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