Authorization Form

Fields marked with an * are required

For the safety and protection of both you, my client and my agency, we at Mouse World Travel ask that all our clients submit this quick and simple online form.


I authorize Mouse World Travel, LLC and/or its agents to make payments on my behalf. I understand that all payments are processed manually by Mouse World Travel, LLC and its agents.

Please type your full name into the box, providing your digital signature.


In order to meet the requirements of our insurance company, Mouse World Travel, LLC requires a completed insurance acceptance/denial form before sending any travel documents to our clients.


Please indicate that you have read, understand, and agree to the terms and conditions for your vacation. This includes, but is not limited to, change and cancellation fees.


I understand the risks involved with travel and assume all risk. I will explain all risks to my traveling party.