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Quacker Cruise and Quacker Vacations

This form needs to be completed by any guest with special needs such as dietary and physical needs. Please note read the Terms and Conditions before submitting this form. 

Click Here to View the Terms and Conditions!

* Required fields
Name *
E-mail Address *
Primary Telephone Number (with Area Code) - USE NUMBES ONLY no dashes or parentheses *
Secondary Telephone Number (with Area Code) - USE NUMBES ONLY no dashes or parentheses
Address *
City: *
State: *
Zip Code: *
Please Describe Special Needs: *
I can step up onto a bus?
Are you bringing a wheelchair or scooter?
If you are bringing a wheelchair or other mobility aide, what type?
If you will need to rent a wheelchair or electric scooter, and would like to add this rental to your vacation package, please indicate the type you would like:
Please list any additional mobility needs:
GUESTS WITH SEVERE ALLERGIES: Are your allergies food related?
Do you carry an EpiPen for emergencies related to allergies?
Please list your allergies or any additional allergy related needs:
GUESTS WITH DIABETES: My diabetes is controlled through:
Please list all medications and any additional diabetic needs:
GUESTS WITH RESPIRATORY NEEDS: Do you require the use of oxygen?
Are you bringing a CPAP machine?
Please list any additional respiratory needs:
GUESTS WITH A SERVICE ANIMAL: Will you be bringing a service animal?
If yes, what type of service animal?
Please list any additional service animal needs:
GUESTS WITH DIETARY NEEDS such as Vegetarian or Kosher, please list dietary needs:
ADDTIONAL OR OTHER CONDITIONS: Please describe any condition, illness, equipment or facillities that require special needs that may not have been listed above:

Please note the following items before submitting this form:

  • Complimentary wheelchairs are not available.  If you wish to add a wheelchair or scooter rental to your vacation package, please indicate your choice in the appropriate field above in the Special Needs form.
  • Persons requiring oxygen must either make independent arrangements for thier oxygen needs or bring there own.
  • Service animals must have all required immunizations and paperwork.
  • Persons undergoing CAPD (Peritoneal Dialysis) must arrange for delivery of their own solutions and supplies.

Cruise Everything, Quacker Vacations, Quacker Factory and Fritz Travel, Inc. will make reasonable efforts to accommodate the special needs of tour participants. It is strongly recommended that persons requiring assistance be accompanied by a companion who is capable of and totally responsible for providing the assistance. Neither Cruise Everything, Quacker Vacations, Quacker Factory, Fritz Travel, Inc., vendors related to this trip, personnel nor its suppliers may physically lift or assist clients onto transportation vehicles. Travelers needing special assistance for other than personal needs must inform us at the time of booking to determine what assistance may reasonably be made available by Quacker Vacations. We regret that we cannot provide special individual assistance to a tour member with special needs for walking, dining or other routine activities.

Click Here to View the Terms and Conditions!

If you are unable to complete this form, please call ((239) 275-1717.

Reservation Hotline
(800) 959-SHIP(7447) or (239) 275-1717
Monday - Friday, 9:00am to 5:30pm Eastern
Reservations and Event Management by Cruise Everything
1950 Courtney Drive, Suite 1, Fort Myers, FL  33901

Copyright ©2014, Quacker Cruise, Quacker Vacations and Cruise Everything.  All rights reserved.
©2010 Royal Caribbean Cruises Ltd.

Vacation itinerary, events, shows, celebrities, Quacker Factory participation, amenities and gifts are subject to change.
Oasis of the Seas Ship Registry is the Bahamas        FST:  14302      CLIA:  00397213

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