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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)
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SCHOOL / ORGANIZATION FAX *
(with area code)
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GROUP LEADER NAME *
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GROUP LEADER TITLE *
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GROUP LEADER PHONE *
(with area code)
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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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ALTERNATE PROGRAM REQUEST
ALTERNATE PROGRAM *
-- Select --
Magic Behind the Show
Disney’s Leadership Excellence
Keepers of the Kingdom
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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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