Carnival Cruise Intake Form Carnival Cruise Intake Form Name First Last Date of Birth (mm/dd/yy)* Date Format: MM slash DD slash YYYY Country of Residency*State of Residency*VIFP# (Very Important Fun Person - Carnival Rewards)Email* Phone*Special Requests?Room Type / Roommates; Drink Packages; Medical Needs (if not listed above)Medical NeedsWheelchair AssistanceCognitive DisabilitiesConcentratorAutismDiabeticBlindDeafAllergiesPregnantDialysisOxygenSharps ContainerAdd Carnival Vacation Protection?*YesNoFixed cost based on booking tier.Add Gratuities?*YesNoFixed cost based on booking tier.