Disney Youth Education Series - College Edition
Program Request in 3 Easy Steps!
  1. Select the Disney Youth Education Series - College Edition Program(s) for your group. For detailed program descriptions visit DisneyYES.com/College.
  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 Disney Youth Education Series - College Edition 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 DisneyYES.com/College, call toll free: 877-FIELDTRIP (877-343-5387) or contact your Travel Planner.

Fill Out All Appropriate Fields Below And Click "Submit"
 
  GROUP INFORMATION This form is to be used by Group Leaders for visits from January 1, 2012 through December 31, 2012. 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 *  
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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 *  
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GROUP LEADER TITLE *  
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GROUP LEADER PHONE *  
(with area code) ↑ Required ↑
GROUP LEADER EMAIL ADDRESS *  
(Permission granted to follow-up with electronic correspondence)
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ARRIVAL DATE *  
(2012 Dates Only)
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DEPARTURE DATE *  
(2012 Dates Only)
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  PROGRAMS LOCATION PREFERRED DATE
(2012 Dates Only)
# of STUDENT
PARTICIPANTS
PREFERRED
TIME
  Magic Behind the Show:
  Improv & Teamwork
Epcot® 8:45 am
1:15 pm
  Disney’s Leadership Excellence:
  The Inside Track
Epcot® 8:00 am
12:45 pm
  Keepers of the Kingdom at
  Disney’s Animal Kingdom®
Disney’s Animal Kingdom® Theme Park 8:30 am
1:00 pm
 
  PROGRAM PARTICIPANTS
  Fill in the total number of participants at each grade level attending the program(s) requested.

 
  Freshmen:   Sophomores:
  Juniors:   Seniors:
 
      Total Students
 
  ALTERNATE PROGRAM REQUEST
 
ALTERNATE PROGRAM *  
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DATE *  
(2012 Dates Only)
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Disney Youth Education Series - College Edition Program Terms and Conditions: Groups wishing to participate in a Disney Youth Education Series - College Edition 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 - College Edition 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 - College Edition 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 - College Edition Ticket Package to attend any Disney Youth Education Series - College Edition program.
One program is included in each Disney Youth Education Series - College Edition Ticket Package, additional programs are available at a cost of $26.00 per participant.
• 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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