Nominate A Child

Do you know a child who deserves to go to Disneyland? Please review our Child Criteria and then enter the information below.

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Tell Us About You
Your Name*
First Last
Your Email Address*
Just in case we need to get a hold of you.
Tell Us About The Child
Please fill in the fields as best you can.
Child's Name*
First Last
Phone
Address
Street Address Address Line 2 City Province Postal Code
Why do you want to nominate this child?*
Consent*
I have read and understand the Child Criteria.*