Disney Registration First Name* Last Name* Nickname/Middle Name/Surname Your Permanent Home Address* Suite/Apartment City* State/Province/County* Country* Home Phone* Cell Phone Primary Email Address* Secondary Email Address Arrival Date: (Month/Day/Year)* Departure Date: (Month/Day/Year) License Plate Number: Gender/Sex* MaleFemale Department or Group Name (i.e. Horticulture etc.)* Disney Destination Disney Orlando Florida Who would you like to room with? (One person please, there is not a guarantee you will be placed with this person, however we will try our best. Please enter the phrase as it is shown in the box above.