Important information: Requests are required a minimum of ten working days prior to the flight date for HQ approval!

Name of your place of Employment: (n/a if spouse)________________________________

Your Employer’s/Spouse Full Name:_______________________________

Your Employer’s/Spouse SSN#: __________________________________

Your Employer’s/Spouse daytime phone #: _________________________

Your Name \ Rank: ____________________________________________

Your SSN#: __________________________________________________

Your Unit: ____________________________________________________

Your daytime phone #: __________________________________________

Alternate phone # in case of flight cancellation: ____________________

Are you flying in an aircrew capacity? Yes or No (circle one)

Flight Date(s) requested: ____________________________

General Information:

2^nd Tuesday of the Month                                          4^TH or Last Thursday of the Month.

-Showtime: 0930 SHARP                                           -Showtime: TBA

-Takeoff: 1100                                                            - Takeoff: TBA

Member/Employer Requirements prior to Flight:

1. Members are required to accompany Employer on the flight.

2. Members must be in a Mil Pay status and in uniform at time of Flight.

3. Members must sign up at least 10 days prior to Flight.

4. Employers must sign a “Release of Liability” prior to Flight.

5. Members must give at least 10hrs notice if not able to make flight.

6. Members may signup for flights scheduled for a future date.

The flights are generally local aero medical missions lasting approximately 2- 2 1/2 hours in length with 20 seats available per flight.

Full names, Ssan’s and daytime/alternate phone numbers are required to schedule your spouse/employer. Once you have collected the necessary data contact MSgt Heyerdahl at 612-713-2031 to reserve seats. Please advise your guests to wear comfortable walking shoes and layered clothing as the aircraft temperatures may vary.

**The Monthly Orientation Flight Program is separate from the Annual Boss Lift Program**

Thanks in advance for sharing our “best kept secret” with the community!