Forms

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

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 *

Name: *

Why are you volunteering for Honor Flight? *

Do you use a home nebulizer? *

Yes

No

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

How did you hear about Honor Flight?

Street address *

Do you have a history of seizures? *

Yes

No

Evening phone *

Date of electronic signature *

Occupation

Email *

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

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

Yes

No

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.) *

Emergency contact name and relationship *

Date of electronic signature *

Street address *

Nickname

Name: *

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

Yes

No

Emergency contact name and relationship *

Do you have any drug allergies? *

Yes

No

Day phone *

Branch of service *

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 *

Rank *

Evening phone *

City, state, zip *

Occupation

Do you use mobility equipment? *

Yes

No

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

Day phone *

Cell phone *

Weight *

Email *

Can you lift 100 pounds? *

Yes

No

Email *

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.

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 *

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. *

City, state, zip *

Date of birth *

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

Yes

No

Would you have difficulty pushing a wheelchair? *

Yes

No

Cell phone *

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.).

Alternate contact phone number *

Do you have problems with motion sickness? *

Yes

No

Day phone *

Date of birth *

List medications being taken and frequency taken *

Nickname

Emergency contact phone number *

Date of electronic signature *

How did you hear about Honor Flight? *

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. *

Evening phone *

Street address *

Enter veteran's name

Period of service *

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.

Why are you volunteering for Honor Flight? *

Nickname

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

Yes

No

How did you hear about Honor Flight? *

Cell phone *

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

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