Add a Veteran - Veterans Honor Flight

Alternate Contact(Son, Daughter, etc)

Name:

Phone:

Email:

Relationship:

Alternate & Emergency contacts should not be the same person.

EMERGENCY CONTACT INFORMATION (someone not flying with you who can be contacted on flight day)

Name:

Relationship:

Phone:

Email:

SERVICE HISTORY (a copy of your DD-214 must be sent by mail for this application to be processed)

Branch of Service

Service Start:

Service End:

Conflicts

WWII
Yes No

Korean War
Yes No

Vietnam War
Yes No

Gulf War
Yes No

Guardians

Each veteran on Honor Flight is assigned a guardian, regardless of age or medical situation. Due to the nature of our operation, it is extremely important we know if you have a person you wish to serve in this role. If you have a preferred guardian, they must be listed on this form AND complete a separate Guardian Application on our web site or via mail-in form. A guardian CANNOT fly if we do not have a Guardian Application on file for them by the deadline established for that flight. Guardians must be approved by our board of directors and attend guardian training prior to the flight. Guardians must also pay the guardian fee. For complete information visit www.veteranshonorflight.org. Your spouse/significant other is not eligible to serve as a guardian.

Do you have a preferred guardian for your flight?
Yes No

If yes, what is your preferred guardian's full name:

GUARDIAN ASSIGNMENT

I only wish to fly with guardian (provide full name)

I will fly with a guardian assigned by Veterans Honor Flight

PLEASE REVIEW & SIGN

The undersigned acknowledges and agrees that:

I further state that medical insurance is the responsibility of the veteran and I understand that Honor Flight does NOT provide medical care. I understand that I accept all risks associated with travel and other Honor Flight activities and will not hold Honor Flight responsible for any injuries incurred by me while participating in the Honor Flight program.

The full name and date of birth listed on this application match exactly with government issued photo ID carried by the veteran. I understand I may not be allowed to fly if a discrepancy exists in this information due to flight security pre-screening.

SIGNED:

DATE:

Veteran Application

Our flights depart from Marion, Illinois. There are hubs throughout the United States. You MUST apply with the hub you intend to fly with. If you do not want to fly from Marion, IL visit www.honorflight.org.

PLEASE REVIEW & SIGN