Honor Flight - Top of Virginia Guardian Application
If you would like to volunteer as a Guardian, please fill out this form. Please note that Guardians must be under 65 years of age, in good health (able to push a wheelchair all day) and may not be the spouse of a Veteran being honored on the trip. HFTOV reserves the right to deny any application at the Board’s discretion.
* Required
First Name (as you wish it to appear on your name badge)
*
Your answer
Last Name
*
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Street Address
*
Your answer
Address City
*
Your answer
Address State (2 digit abbreviation)
*
Your answer
Address Zip
*
Your answer
Email
Your answer
Departure Location
*
Harrisonburg, VA
Loudoun County, VA
Winchester, VA
Are you a Veteran?
*
Yes
No
Military Branch
Army
Navy
Air Force
Marines
Coast Guard
Army Air Corps
Military Rank
Your answer
Birthdate (MM/DD/YYYY)
*
Your answer
Shirt Size (please note these are standard mens size polo shirts)
*
Choose
S
M
L
XL
XXL
XXXL
Emergency Contact
*
Your answer
Emergency Contact Phone Number
*
Your answer
I understand that I will have to sign a liability waiver in order to participate.
*
Yes
Required
How did you hear about HFTOV?
Your answer
Are you requesting to accompany a specific Veteran?
Yes
No
Clear selection
Name of Veteran
Your answer
Are you under 65 years of age?
Yes
No
Clear selection
Are you able to push a wheelchair all day?
Yes
No
Clear selection
Submit
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