Participating in Upcoming Challenges
Would you, or someone you know, be interested in learning more about participating with CWVC? Please submit the initial contact form below.
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Name: (as appears on Driver’s License)
Date of Birth
MM
/
DD
/
YYYY
Branch of Service
Rank
Status: Active or Retired (comments if warranted)
Clear selection
Status Related Comment (if warranted)
Street Address
City
State
Zip Code
Phone
Email
Secondary/Alternate Email
Is there a particular challenge, or type of challenge (SCUBA, Mountaineering, etc.) you are interested in participating in?
The above will be used only to ascertain initial interest; your privacy will be respected regarding any information disclosed to CWVC. For some Challenges, immediate family members only (spouse, children) may accompany their combat wounded/injured veteran. If selected to participate, do you anticipate bringing family members (needed for billeting purposes)? Please list family members below (include name, age, and any special needs).
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This form was created inside of Combat Wounded Veterans Challenge.