1. YOUR TRAVEL DETAILS
Some of the information below will be on your travel documentation or you can ask your travel agent or tour operator for the information.
Lead name*
Your name
Email
Telephone
Holiday/travel booking reference
Your arrival date
Ship/flight name and details
Your departure date
2. GENERAL INFORMATION ABOUT YOU
How would you describe your disability?
3. GETTING AROUND
Can you walk or travel on your own in an unfamiliar place without assistance? YesNo
Do you use a wheelchair when travelling? YesNo
Can you walk up and down steps or a gangway to board the plane or ship without assistance? YesNo
Please Note: Operators are not allowed to assist you with certain activities. So, if you’re unable to do these on your own, you may need to travel with a companion who can help you.
If a transfer coach is provided from the airport to the hotel or for any excursions as part of your travel arrangements, Can you board and leave a standard coach without additional assistance other than from any companion you may be traveling with? YesNo
4. GETTING ACCESS TO INFORMATION
Would it be difficult for you to see, hear or understand important information – for example , departure information or information about what to do in an emergency? YesNo
5. TRAVELLING ON AN AIRCRAFT, COACH, FERRY OR CRUISE SHIP
Please note: If you’re traveling with a companion who will provide full assistance, you may not need to notify about your accessibility requirements. However, bear in mind that if you need assistance in doing any of the following, the tour operator may insist on you traveling with a companion who can assist you.
Can you do the following without assistance ? Breath without supplementary oxygen YesNo
Feed yourself YesNo
Administer your own medication YesNo
Use the toilet facilities YesNo
Lift yourself in and out of your seat YesNo
Find exits in a case of an emergency YesNo
On request, operators must make all reasonable efforts to arrange seating to meet your disability needs – subject to safety requirements and availability.
Are you taking any medical or other equipment to assist you? YesNo
If yes
Are you asthmatic or do you have other breathing difficulties? YesNo
Are you traveling with an assistance dog? YesNo
6. ACCOMMODATION IN DESTINATION OR ONBOARD SHIP
Can you walk up and down stairs unaided? YesYes - some of the timeNo
Would you prefer a room on a particular floor ? YesNo
Some properties may have no lifts or only have lifts serving particular levels.
Would you prefer a room near the lift? YesNo
What special facilities do you require in your room? grab railsaccessible telephonevibrating pads for alarm/alarm clockfridge for medicationTV with Teletextlevel entry showeradjustable bed heightwashbasin with lever tapsOther
7. MEALS
Do you have a special dietary requirement for medical reasons? YesNo
PLEASE indicate the reason for request
Have a question about the form?
Call us : 1 758 723 8836 Email hello@caribbeantoursagency.com
