Disney Youth Education Series Program Request in 3 Easy Steps!
  1. Select the Disney Youth Education Series Program(s) for your group. For detailed program descriptions visit www.DisneyYouthEducationSeries.com.
  2. Complete the Program Request form below and click "Submit" or download the printable PDF and fax it to 407-566-7688.
  3. After receiving your YES Program Confirmation, complete your ticket order by visiting our online ticket store at www.disneyurl.com/disneyyoutheducationseries or fax in the ticket order form.

For more information visit www.DisneyYouthEducationSeries.com, call toll free: 877-FIELDTRIP (877-343-5387) or contact your Travel Planner.

Fill Out All Appropriate Fields And Click "Submit" OR Click Here To Download A Printable PDF
 
  GROUP INFORMATION This form is to be used by Group Leaders for visits from January 1, 2012 through December 31, 2013. Program Request is due at least six weeks before the Group Main Arrival Date. Programs are subject to availability. A minimum of 10 students is required for program participation unless otherwise noted.
Indicates a Required Field
 
SCHOOL / ORGANIZATION NAME *  
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GROUP NAME *  
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SCHOOL / ORGANIZATION MAILING ADDRESS *  
↑ Required ↑
 
CITY *  
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STATE *  
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ZIP *  
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SCHOOL / ORGANIZATION PHONE *  
(with area code) ↑ Required ↑
SCHOOL / ORGANIZATION FAX *  
(with area code) ↑ Required ↑
 
GROUP LEADER NAME *  
↑ Required ↑
GROUP LEADER TITLE *  
↑ Required ↑
 
GROUP LEADER PHONE *  
(with area code) ↑ Required ↑
GROUP LEADER EMAIL ADDRESS *  
(Permission granted to follow-up with electronic correspondence)
↑ Required ↑ ↑ Invalid email format ↑
 
ARRIVAL DATE *  
(2012 - 2013 Dates Only)
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DEPARTURE DATE *  
(2012 - 2013 Dates Only)
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  PROGRAMS GRADE LOCATION PREFERRED DATE
(2012 - 2013 Dates Only)
# of STUDENT
PARTICIPANTS
PREFERRED
TIME
  ARTS AND HUMANITIES - Explore peoples and practices that shape the world.
  The American Story 3rd - 12th Magic Kingdom® Park 7:15 am Only
  Disney’s Animation Magic 3rd - 12th Disney’s Hollywood Studios® 7:45 am Only
  Disney’s Captivating Moments:
  Images with Impact
7th - 12th Epcot® 8:45 am Only
  Disney’s Production Arts and Sciences 6th - 10th Disney’s Hollywood Studios® 7:45 am
12:30 pm
  Magic Behind the Show:
  Improv & Teamwork (3.5 hrs)
6th - 12th Epcot® 8:45 am
1:15 pm
  Millennium Cultures 4th - 9th Epcot® 8:45 am Only
  Showbiz Magic at La Nouba
  by Cirque du Soleil®(2 hrs)
6th - 12th Cirque du Soleil® at Downtown Disney® 8:00 am Only
  Prerequisite: Must attend La Nouba™ prior to Program
 
Date show reserved:  
 
  CAREERS AND LIFE MANAGEMENT - Get career insights from a Disney point of view.
  Disney’s Emerging Leadership:
  Discover the Power of You
6th - 10th Disney’s Hollywood Studios® 7:45 am
12:30 pm
  Disney’s Leadership Excellence:
  The Inside Track
9th - 12th Epcot® 8:00 am
12:45 pm
  Keepers of the Kingdom at
  Disney’s Animal Kingdom®
10th - 12th Disney’s Animal Kingdom® Theme Park 8:30 am
1:00 pm
  Making Waves with a Marine Career 9th - 12th Epcot® 8:30 am
1:00 pm
  The Science of Disney Imagineering:
  The Experience
6th - 8th Disney’s Hollywood Studios®
↑ Numbers Only ↑ ↑Minimum of 15
students required ↑
8:45 am Only
  An additional premium program fee of $12.00 is required for all participants.   This program requires a minimum of 15 students.
 
  NATURAL SCIENCES - Discover your place in the fascinating circle of life.
  Disney’s Ocean Discoveries 3rd - 9th Epcot® 8:30 am
1:00 pm
  Disney’s Wild by Nature 2nd - 9th Disney’s Animal Kingdom® Theme Park 8:30 am
1:00 pm
  Team Up for Wildlife! 6th - 12th Disney’s Animal Kingdom® Theme Park 8:30 am
1:00 pm
  PHYSICAL SCIENCES - Experience the science behind Disney Theme Park attractions.
  Dynamics of Technology 6th - 12th Epcot® 7:45 am Only
  Disney’s World of Physics:
  Energy & Waves
3rd - 12th Magic Kingdom® Park 9:00 am
11:30 am
  Disney’s World of Physics:
  Properties of Motion
3rd - 12th Magic Kingdom® Park 7:15 am Only
  Everyday Chemistry 4th - 9th Epcot® 8:45 am
12:45 pm
  How Things Move (2.5 hrs) Age 5 - 2nd Magic Kingdom® Park 8:15 am Only
  Synergy in Science 1st - 5th Epcot® 8:45 am
12:45 pm
  PROGRAM PARTICIPANTS
  Fill in the total number of youth at each grade level and the total number of adult chaperones attending the program(s) requested.
  NOTE: A maximum of one adult may attend the program per every five students.
 
  K:   7th:
  1st:   8th:
  2nd:   9th:
  3rd:   10th:
  4th:   11th:
  5th:   12th:
  6th:   Total Students
    Chaperones
 
  TRAVEL PLANNER INFORMATION (Optional)
 
Travel Agency  
Contact Name  
 
Address (No PO Boxes please)  
City  
 
State / Providence  
Postal Code  
Country  
 
Telephone  
(with area code)
Fax  
(with area code)
 
Email Address  
↑ Invalid email format ↑
 
  ALTERNATE PROGRAM REQUEST
 
ALTERNATE PROGRAM *  
↑ Required ↑
DATE *  
(2012 - 2013 Dates Only)
↑ Required ↑
 
Disney Youth Education Series Program Terms and Conditions: Groups wishing to participate in a Disney Youth Education Series program must complete and submit this Program Request Form via Online or Fax to 407-566-7688. This form should be submitted as soon as program choices are made and at least six weeks in advance. This form may, however, be submitted up to 12 months in advance. Upon the group’s acceptance into any Disney Youth Education Series program experience, the Group Leader will receive written confirmation of the scheduled program(s), date(s) and time(s). To finalize your participation in Youth Education Series program(s), the Group must complete and submit a Ticket Order form prior to the Group Main Arrival Date.
All programs subject to availability and are three hours in length unless otherwise noted. Program content, times and locations are subject to change due to inclement weather, attraction availability, or group dynamics. A minimum of 10 students is required for program participation unless otherwise noted. Each youth participant must meet stated grade level and age requirements and all posted Disney safety guidelines.
Theme Park admission is required and all participants must purchase a Disney Youth Education Series Ticket Package to attend any Disney Youth Education Series program.
• Prerequisite: Group must attend La Nouba™ show prior to Showbiz Magic Youth Education Series Program.
• To maintain the high-quality and age-appropriate Disney Youth Education Series learning experience, no more than one adult for every five participating students may attend Disney Youth Education Series programs. How Things Move requires one chaperone for every student if the student is age 5 or 6 years old.
One YES program is included in each Disney Youth Education Series Ticket Package. For dates in 2012, additional programs are available at a cost of $26.00 per participant. For dates in 2013, additional programs are available at a cost of $27.00 per participant. (**Please note, an additional premium program fee of $12.00 is required for all participants of The Science of Disney Imagineering: The Experience).
• Groups must arrange their own transportation to and from ALL programs and options. Walt Disney World® Transportation is not available.
 
I have read and understand the application procedures *
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Signature *  
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Your Email Address *  
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