Forms

T-shirt Size *

Small

Medium

Large

X-Large

XX-Large

XXX-Large

Do you have a history of head injuries, sinus or ear problems? *

Yes

No

Enter veteran's name

If you wish to travel with another veteran or veterans, please provide their names.

How did you hear about Honor Flight?

List medications being taken and frequency taken *

Cell phone *

Name: *

Evening phone *

IF YOU WILL REQUIRE THE USE OF A PORTABLE OXYGEN CONCENTRATOR DURING THIS TRIP, PLEASE CONTACT YOUR DOCTOR TO REQUEST THE PROPER PAPERWORK FOR THE FLIGHT.

ONLINE VETERAN APPLICATION --- Honor Flight Cleveland recognizes American veterans for their sacrifices and achievements and is proud to fly them to Washington, D.C. to see THEIR memorials at no cost to the veteran.

Rank *

Evening phone *

PLEASE REVIEW CAREFULLY AND SIGN --- The undersigned acknowledges through electronic signature and agrees that: 1. As photographs and video equipment are frequently used to memorialize and document Honor Flight Cleveland trips and events, his/her image may appear in a public forum, such as the media or a website, to acknowledge, promote or advance the work of the Honor Flight Cleveland program. I hereby give permission for my images captured during Honor Flight Cleveland activities through video, photo or other media, to be used solely for the purpose of Honor Flight Cleveland promotional material and publications, and waive any rights or compensation or ownership thereto. 2. I understand that Honor Flight Cleveland does NOT provide medical care. I understand that I accept all risks associated with travel and other Honor Flight Cleveland activities and will not hold Honor Flight Cleveland responsible for any injuries or illness incurred by me while participating in the Honor Flight Cleveland Program. *

Day phone *

Cell phone *

City, state, zip *

Street address *

Do you have a history of seizures? *

Yes

No

Can you lift 100 pounds? *

Yes

No

Are you requesting to travel with a specific veteran, if possible? *

Yes

No

Email *

Do you wish to travel with this person or another particular guardian (son, daughter, grandchild or friend)? If so, provide their name. (Spouses are not eligible to be guardians. Guardians must be at least 18 years old.) *

Date of electronic signature *

Nickname

Day phone *

Date of electronic signature *

How did you hear about Honor Flight? *

Do you have any medical issues we should be aware of? *

Yes

No

How did you hear about Honor Flight? *

ONLINE GUARDIAN APPLICATION --- Honor Flight Cleveland would not be successful without the generous support of our guardians. Guardians play a vital role on every trip, ensuring that each veteran has a safe and memorable experience. Duties include, but are not limited to, physically assisting the veterans at the airport, during the flight and at the memorials. Guardians are responsible for their own expenses (airline fare, etc.).

Cell phone *

City, state, zip *

Please identify any physical disabilities, restrictions and/or medical conditions that would limit your ability to fulfill the duties of a guardian *

ONLINE VOLUNTEER APPLICATION --- Honor Flight Cleveland would not be successful without the generous support of our volunteers. Duties include, but are not limited to: AIRPORT: meeting, greeting and assisting veterans, setting up/taking down tables and chairs for registration and continental breakfast, unloading/loading wheelchairs, preparing veteran goody bags, distributing T-shirts; OFFICE SUPPORT: handling routine clerical tasks, creating promotional literature, maintaining databases; SPECIAL EVENTS: manning informational booths at events geared toward veterans, assisting with fundraising

Street address *

List any medications you are taking and the frequency you take them. *

Alternate contact phone number *

Do you have problems with motion sickness? *

Yes

No

City, state, zip *

Occupation

Why are you volunteering for Honor Flight? *

Do you use a home nebulizer? *

Yes

No

ONLINE GUARDIAN APPLICATION --- Honor Flight Cleveland would not be successful without the generous support of our guardians. Guardians play a vital role on every trip, ensuring that each veteran has a safe and memorable experience. Duties include, but are not limited to, physically assisting the veterans at the airport, during the flight and at the memorials. Guardians are responsible for their own expenses (airline fare, etc.).

Duty station *

Weight *

Email *

If you answered yes to any of the medical questions, please explain. *

Emergency contact name and relationship *

Street address *

Nickname

Emergency contact phone number *

Why are you volunteering for Honor Flight? *

Nickname

Emergency contact name and relationship *

Do you have any drug allergies? *

Yes

No

Emergency contact phone number *

PLEASE REVIEW CAREFULLY AND SIGN The undersigned acknowledges through electronic signature and agrees that: 1. As photographs and video equipment are frequently used to memorialize and document Honor Flight Cleveland trips and events, his/her image may appear in a public forum, such as the media or a website, to acknowledge, promote or advance the work of the Honor Flight Cleveland program. I hereby give permission for my images captured during Honor Flight Cleveland activities through video, photo or other media, to be used solely for the purpose of Honor Flight Cleveland promotional material and publications, and waive any rights or compensation or ownership thereto. 2. I understand that Honor Flight Cleveland does NOT provide medical care. I understand that I accept all risks associated with travel and other Honor Flight Cleveland activities and will not hold Honor Flight Cleveland responsible for any injuries or illness incurred by me while participating in the Honor Flight Cleveland Program. *

Alternate contact (son, daughter, friend, etc.) *

Branch of service *

Do you have any breathing problems? *

Yes

No

PLEASE REVIEW CAREFULLY AND SIGN --- The undersigned acknowledges through electronic signature and agrees that: 1. As photographs and video equipment are frequently used to memorialize and document Honor Flight Cleveland trips and events, his/her image may appear in a public forum, such as the media or a website, to acknowledge, promote or advance the work of the Honor Flight Cleveland program. I hereby give permission for my images captured during Honor Flight Cleveland activities through video, photo or other media, to be used solely for the purpose of Honor Flight Cleveland promotional material and publications, and waive any rights or compensation or ownership thereto. 2. I understand that Honor Flight Cleveland does NOT provide medical care. I understand that I accept all risks associated with travel and other Honor Flight Cleveland activities and will not hold Honor Flight Cleveland responsible for any injuries or illness incurred by me while participating in the Honor Flight Cleveland Program. *

Date of birth *

Day phone *

Period of service *

Would you have difficulty pushing a wheelchair? *

Yes

No

Date of birth *

Medical Information - Information provided will NOT disqualify you. It permits us to assess the support we need during the trip. Information is for Honor Flight Medical Personnel only.

Do you use mobility equipment? *

Yes

No

Please note any medical experience you may have (EMT, CPR, Nurse, Paramedic, etc.)

Evening phone *

Date of electronic signature *

Date of birth *

Occupation

Do you have a problem walking the length of a football field without assistance? *

Yes

No

Celebrating Our Nation's Heros