GUEST SPECIAL NEEDS FORM
In order to provide you with the best accessible cruise experience possible, please submit the Guest Special Needs Form at time of booking but no later than 30 days prior to sailing, except for sign language interpreting requests which must be submitted 60 days prior to sailing. This will allow us to make the necessary arrangements for your requested accommodations.
Sensitive personal data- We collect details relating to your health or medical conditions, including details of any accessibility requirements, allergies or other health-related requests.

We also may collect details of your meal preferences which may tell us about allergies or other dietary requirements, or potentially indicate your religion or beliefs. When you provide this information to us, this enables us to understand your requirements, and so that we can work with our onboard team/suppliers, to best meet your needs.

For more information, you can read our global privacy policy on any website operated by us. This sets out your rights to access, rectification and erasure of your data and contact details for a revocation of your consent.
I hereby declare that I have read and understood this consent declaration and that.
1. * I consent to the processing of data to adapt the cruise to my needs
❕ Your request cannot be processed if you do not accepte our data privacy policy.
 Yes  No
2. * I consent to the transfer of data to tour operators in third countries outside the EU / EEA
❕ Your request cannot be processed if you do not accepte our data privacy policy.
 Yes  No
*Required information
* First name
* Last name
* Email address
Country of residence
* Phone number
*Ship
* Sail date
* Reservation number
WHICH ACCOMMODATIONS DO YOU REQUIRE?
Sign Language Interpreting Services are available on cruises to/from U.S. and Canada only. Request must be made 60 days prior to sailing
 
Wheelchair pier assistance    
❔ Wheelchair assistance is provided for boarding and departure upon request. A short wait may be necessary during peak times.
Assistive Listening Device   
❔ Assistive Listening Systems (ALS) are located in the main theater on all ships, Studio B on Voyager, Freedom and Oasis class ships, and in the Aqua Theater on Oasis class ships. Receivers may be obtained at the Guest Relations Desk.
 
Wheelchair accessible vehicles for transfers   
❔ Accessible transportation (with either a lift or ramp) will be provided if you have purchased cruised cruise-only transfer, hotel package, or a Cruisetour. Accessible transportation may be limited or not available outside the U.S.
Can not ascend/descend steps   
❔ This information is helpful for assistance during emergency evacuation.
 
Portable Hearing Room Kit   
❔ A portable hearing room kit in guests stateroom is available upon request. It includes a visual/tactile alert system that provides alerts for door knocking, telephone ringing, alarm clock and smoke detector.
Service dog   
❔ Guests are responsible for obtaining all required documents for the dog to depart the ship in ports of call and at final destination. The dog must use the designated relief area which is a 4 x 4 foot wood box filled with cypress mulch. Central Park on Oasis class ships is not a designated relief area. Sod "Other" section at the bottom of the form. If you have a dog that does not meet the definition of a "service dog" meaning individually trained to do work or perform tasks for a person with a disability, please contact our Access Department for assistance.
 
TTY (Teletypewriter)   
❔ A TTY (Teletypewriter) in guests stateroom is available upon request. The TTY in the stateroom interfaces with the TTY at Guest Relations Desk to meet guests in-stateroom needs.
Large Print Material
 
American Sign Language Interpreting - ASL   
❔ Requests for sign language intepreting services should be made when the booking is made, but no later than 60 days prior to sailing. Sign language interpreting services are provided only on cruised that depart from and/or return to the U.S. and Canada. SSP (Support Service Provider) services are not provided.
Sign Language Interpreting - Tactile   
❔ Requests for sign language intepreting services should be made when the booking is made, but no later than 60 days prior to sailing. Sign language interpreting services are provided only on cruised that depart from and/or return to the U.S. and Canada. SSP (Support Service Provider) services are not provided.
 
Blind (optional)   
❔ While this information is optional, it is helpful for the ship so that assistance may be provided to guests who are blind during the cruise.
HOW CAN WE ACCOMMODATE YOUR STATEROOM?
Do you need an accessible stateroom with roll-in shower?
 YES  NO
 
I require an accessible stateroom because I have a mobility disability or other disability that requires the use of the accessible features that are provided in the stateroom.
 
Raised toilet Seat Mini-refrigerator
 
Commode Chair Sharps container
 
Shower Stool
DO YOU NEED AN ACCESSIBLE HOTEL ROOM?
For pre/post-cruise hotels and Cruisetours, based on availability
 
Accessible hotel room with roll-in shower Accessible hotel room with tub
DO YOU NEED TO BRING YOUR EQUIPMENT?
Wheelchairs and Scooters must fit through the stateroom door and be stored and charged in the guest staterooms. Standard stateroom doors are minimum 23 inches wide, accessible stateroom doors are 32 inches wide.
 
Manual Wheelchair   
❔Please, provide dimensions (width, length, height) in the "Other" section at the bottom of the form.
Power Scooter   
❔ Please, provide dimensions (width, length, height), weight and type of battery in the "Other" section at the bottom of the form.
 
Power Wheelchair   
❔Please, provide dimensions (width, length, height), weight and type of battery in the "Other" section at the bottom of the form.
CPAP/BIPAP Machine   
❔Distilled water and an extension cord will be provided in the stateroom.
 
Please complete all details and dimensions so we may ensure your mobility equipment can be accommodated in the stateroom and if applicable for transfers and shore excursions.
Does your wheelchair or scooter fold?
 Folding  NonFolding
 
What type of battery does your wheelchair or scooter use?
 Gel Cell  Dry Cell  Wet Cell
 
What are the dimensions of your wheelchair or scooter?
* For width, length and height measurements – please provide in millimetres. For weight, please provide in kilogrammes.
Width
Length
Height
Weight
 
What are the combined dimensions of the guest and equipment?
Height
Weight
 
Note: At certain ports of call, gangway and tender conditions may make it difficult for equipment to be taken on or off the ship. Power wheelchairs and mobility scooters may not be taken on tenders unless roll-on capability is availability. For more information, see www.celebritycruises.com/special-needs/accessibility
DO YOU NEED OXYGEN OR DIALYSIS?
If you require any form of hemo-dialysis, please contact our Access Department for assistance
 
Bringing oxygen Bringing Peritoneal Dialysis
 
Vendor will deliver Oxygen Vendor will deliver Peritoneal Dialysis supplies
 
Vendor name (Oxygen)
Vendor name (Dialysis)
Vendor phone number (Oxygen)
Vendor phone number (Dialysis)
DO YOU HAVE ANY MEDICALLY RELATED DIETARY REQUESTS?
 
Soy milk Lactose-free milk
 
Vanilla Ensure
Ensure quantity(8 oz cans)
WOULD YOU LIKE TO BOOK ACCESSIBLE SHORE EXCURSIONS?
The information will be passed along to our Accessible Shore Excursions team. Be sure to complete the Equipment section so we can ensure the tour operator will be able to accommodate your mobility equipment.
Please contact our accessible shore excursions team at shorexaccess@rccl.com to arrange your excursions.
Would you like to book accessible shore excursions?
 Yes  No
Can you do minimal walking?
 Yes  No
Are you traveling with a companion who can assist you?
 Yes  No
Are you able to transfer from a wheelchair to a seat?
 Yes  No
DO YOU NEED OTHER ACCOMMODATIONS?
We are unable to guarantee an allergy free environment. However, we can make reasonable accommodations for your allergies. Please note not all disability and dietary requests may be able to be accommodated.
 
I have other needs
Please list other needs here, including allergies...
 
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Celebrity Cruises Inc.
1050 Caribbean Way
Miami, FL 33132

Celebrity Cruises
www.celebritycruises.com