SPECIAL NEEDS FORM
MSC Cruises S.A. is sensitive to its passengers’ needs and constantly strives to offer the best possible service inaccordance with all the relevant international standards. To enable us to provide a service that is tailored to yourparticular requirements, we kindly ask you to read this form carefully and duly complete it at the time of booking.
This will allow us to prearrange your arrival on board so that your accommodation is as comfortable as possible,and to inform you about life on board your chosen vessel and any potential difficulties you may encounter.
Every effort has been made to ensure that the content of this form is accurate;
however, MSC Cruises S.A. advises you to check with your travel agent for the most up to date information.

PASSENGER DETAILSBOOKING Nr.: _________________________________________________________________________________________________________________________________APPLICANT’S NAME AND SURNAME: ____________________________________________________________________________________________________DATE AND PLACE OF BIRTH: _______________________________________________________________________________________________________________ADDRESS: ______________________________________________________________________________________________________________________________________CONTACT DETAILS (phone, e-mail, etc.): ________________________________________________________________________________________________NAME AND SURNAME OF THE HELPER (if required): _________________________________________________________________________________
N.B.: A helper may be necessary depending on the passenger’s degree of autonomy and chosesn accommodation.

PARENT/GUARDIAN DETAILS
N.B.: If the applicant is a minor and/or incapable, this form should be completed and signed by a parent having
parental responsibility, or by the guardian, details of whom must be provided.
NAME AND SURNAME: ______________________________________________________________________________________________________________________DATE AND PLACE OF BIRTH: _______________________________________________________________________________________________________________ADDRESS: ______________________________________________________________________________________________________________________________________CAPACITY: _________________________________________________________________________________________________________________________________CRUISE DETAILSSHIP: __________________________________________________________________ DATE OF DEPARTURE: ____________________________________________DESCRIPTION OF PACKAGE:CRUISE ONLYCABIN NR.
DISABLED CABINCABINNr.: ___________________________________________________________ DISABLEDCABINREQUESTED:REQUESTED:CRUISE AND FLIGHTYESNOMSC Cruises S.A. strongly recommends that passengers with reduced mobility - regardless of the type and
MSC Cruises S.A. strongly recommends that passengers with reduced mobility - regardless of the type andseverity ofof their
becausean ordinary
severity
their condition
condition -- request
request accommodationaccommodation inin aa specially-equipped
specially-equipped stateroom,
cabin, becauseusingusing
an ordinary
stateroomdifficulties
and inconvenience.
cabin
couldcould
causecause
difficulties
and inconvenience.
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MEDICAL DETAILSMEDICAL CERTIFICATE OF FITNESS TO TRAVEL ON THE CRUISE TRIP:

YESNO(and if applicable on the flight)
ILLNESS(ES): ___________________________________________________________________________________________________________________________________MEDICAL TREATMENT REQUIRED ON BOARD: ________________________________________________________________________________________
AIDS/EQUIPMENT TO BE TAKEN ON BOARD: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________MSC Cruises S.A. reminds you that it is your exclusive duty and responsibility to bring on board any medicines
and/or equipment which you may need during the cruise, as such items may not be available from the on-board
medical facilities. It is also your exclusive duty and responsibility to administer medicines and undergo any othertreatment necessary in the on-board medical centre, as indicated by your own physician. MSC Cruises S.A. strongly
advises you to carry your medicines and/or medical equipment in your hand luggage.
DIETARY REQUIREMENTS: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________MSC Cruises S.A. reminds you that, once on board, you should also advise the Reception and/or the Maître d’Hôtelof your dietary requirements. MSC Cruises undertakes to provide meals for coeliac passengers exclusively onboard the vessels MSC Splendida, MSC Fantasia, MSC Magnifica, MSC Musica, MSC Orchestra and MSC Poesia, only
during travel in the Mediterranean and Northern Europe; all the motor vessels carry a selection of pre-packaged
gluten-free products on board during every itinerary.
ALLERGIES: ____________________________________________________________________________________________________________________________________PREGNANCY:YESNOWEEK: ____________________________MSC Cruises S.A. informs pregnant women that they must present a medical certificate which - taking accountof their age, progress of the current and any previous pregnancies, any concurrent conditions and any otherrelevant factors - confirms their fitness to undertake the proposed journey, as well as the week of pregnancy.
MSC Cruises S.A. also informs you that the medical facilities and equipment on board may be technically inadequate
for the purposes of childbirth, or to deal with complications in pregnancy, and that during a cruise circumstances
may arise which present a potential risk to the pregnancy (such as, for example, the swaying movement of thevessel, adverse weather conditions, fatigue during excursions, sudden changes in weather, excessive noise andpossible bus transfers, etc.).
GUIDE DOG:YESNOMSC Cruises S.A. welcomes guide dogs on board its cruise vessels, on condition that they are in good health and inpossession of all documents necessary for entry to the foreign countries visited during the cruise (in particular, for theEU the animal will require the compulsory identification document issued by the competent local health authority,
stamped within the 24 hours preceding the journey by the veterinary surgeon certifying the animal’s physicalcondition). MSC Cruises S.A. will give prior notice to the passenger concerning the accommodation granted to theanimal, any facilities available for it and the relevant arrangements for embarkation and disembarkation of the vessel.
The passenger, on his/her part, undertakes to be personally responsible for the custody, nutrition and general careof the animal throughout the period spent on board (with the help of his/her helper or fellow traveller if applicable).
OTHER REQUIREMENTS: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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ASSISTANCE ON BOARD AND/OR AT THE PORTPASSENGER’S DEGREE OF AUTONOMY: ________________________________________________________________________________________________
DOES THE PASSENGER REQUIRE ASSISTANCE WITH EMBARKATION/DISEMBARKATION?

YESNODETAILS OF ASSISTANCE REQUIRED: ____________________________________________________________________________________________________MSC Cruises S.A. informs passengers that special means of transport from and to the terminal could result inadditional costs payable by the passenger. In the event that such services are requested and available, MSC Cruises S.A.
undertakes to give you prior notice of the details.

WHEELCHAIR DETAILSDESCRIPTION:
ELECTRICFOLDINGSCOOTEROTHER SIMILAR EQUIPMENTIF ELECTRIC, BATTERY USED:
GEL

DRY

MSC Cruises S.A. informs passengers that wet batteries may not be brought on board its vessels.
DIMENSIONS WHEN OPEN:

cm _________________________ x cm _____________________ x cm ______________________DIMENSIONS WHEN FOLDED:

cm _________________________ x cm _____________________ x cm ______________________

WEIGHT:kg _________________________ASSISTANCE AT THE AIRPORT AND/OR DURING THE FLIGHTMSC Cruises S.A. informs you that each airport and air carrier has its own restrictions, and we therefore ask you tonotify us in good time of any special needs, so that we can forward the information to the air carrier in sufficienttime for your requirements to be met. In any case, since the air carrier is a third party and not MSC Cruises S.A.,
it may take a few days to confirm the availability of the service requested. The option of using your own wheelchairto access the stairs/door of the aircraft may be available, depending on the airport of departure.

BOARDING DETAILS:WCHR (The passenger is able to use the stairs and move from the entrance of the aircraft to their assigned seat)WCHS (The passenger is NOT able to use the stairs, but can move from the entrance of the aircraft to theirassigned seat)
WCHC (The passenger is immobile, i.e. he/she is NOT able to use the stairs and is NOT able to move from theentrance of the aircraft to their assigned seat)
DIFFICULTY IN WALKING LONG DISTANCES (special assistance will be requested from the air carrier and/or theairport for the purpose of travelling between the check-in and boarding gate, or from the gate of disembarkation
to the arrivals area):YESNO

REQUIREMENTS RELATING TO THE SEAT DURING THE FLIGHT: ______________________________________________________________________________________________________________________________________________________________________________________________________________________MEDICAL EQUIPMENT NEEDED DURING THE FLIGHT: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________DIETARY REQUIREMENTS DURING THE FLIGHT: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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MSC Cruises S.A. also informs you that:
The vessel has limited medical facilities and equipment which may consequently be technically inadequate for thetreatment of your condition and potential complications related to it, and the medical staff on board may not havethe specific expertise required.
The means of transport used for excursions (provided by third parties and not MSC Cruises S.A. and not includedin the holiday package) may not be technically suitable for your specific needs;
The Captain has the power in any event - acting on the advice of the on-board Medical Officer - to refuse, at hisentire discretion, to allow you to embark, or to require you to disembark at any time and at any port, at your own
cost, in the event that your safety is likely to be compromised by the vessel.
In accordance with the relevant legislation, the Data Controller of the personal data, voluntarily supplied by you
completing this form, is MSC Cruises S.p.A., with registered office at via Agostino Depretis No. 31, Naples (Italy),against whom the rights prescribed by the above legislation may be exercised. Your personal data will be processedin full compliance with the relevant legislation in force and will not be disclosed to third parties, except in the eventthat disclosure is necessary to fulfil a contractual obligation, or pursuant to legal requirements or where expressly
permitted by law; in any event, your data will not be shared.
MSC Cruises S.A. confirms, finally, that completing and signing this form does not of itself render effective the sale
contract for the holiday package, which - as set out in the General Terms and Conditions of Sale - remains subject
to confirmation by the Company.

The undersigned, on his/her part, declares that:• the information provided above is complete and truthful and that he/she consents to it being processed inaccordance with the above arrangements;• he/she has read and accepts the General Conditions of sale and transportation as included in the relevant
MSC Cruises S.A. brochure;• he/she has informed his/her own physician of all circumstances relating to the holiday package selected, and thephysician, having taken account of those circumstances, has issued a certificate confirming fitness to undertakethe cruise trip (and, where applicable, the flights), which the undersigned has attached to this form;• he/she has been fully informed of all circumstances which are potentially prejudicial to his/her health and safety
and that he/she has decided in full knowledge of the facts to purchase the holiday package, accepting the risks
relating thereto and hereby releasing MSC Cruises S.A., its agents, its insured, insurers, ship owners, the captainand crew members of the vessel and/or any other party involved in any way (referred to collectively as the“Company”), from all civil and/or criminal liability arising from the occurrence of medical emergencies relating
to his/her own medical condition, for which the on-board medical assistance proves to be inadequate, deficient
and/or unavailable;• that he/she also releases the Company from all civil and/or criminal liability relating to medical treatment andcare to which he/she submits voluntarily, to the condition and operation of equipment which he/she brings onboard and, generally, relating to all matters declared above.

Date _______________________________________________________________

Signed _____________________________________________________________MSC Cruises S.A., as data controller with headquarters in Geneva (Switzerland), and other companies of the MSC Cruises group acting as data processors, such as MSC Crociere S.p.A.,
with registered office in Naples (Italy), process your personal data for the purposes declared on this form in accordance with the EU Regulation on data protection 2016/679 (“GDPR”).
You can exercise your rights set out in Articles 15-22 GDPR, as applicable, by sending an email to privacyhelpdesk@msccruises.com. If you believe that the processing of your personal
data infringes the GDPR, you can lodge a complaint with your supervisory authority. To learn more about data processing and privacy at MSC Cruises please read our Privacy
Information Notice available in your Booking Confirmation, your e-Ticket and in the MSC for Me App or contact our Data Protection Officer at dpo@msccruises.com.

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