General Information

Enter your name exactly as it appears on your driver's license or passport!

* * * Effective May 7, 2025 Real ID, Enhanced Driver License, or
Passport is required for Airline travel* * *

Last Name First Name Middle Initial/Name
* * * Effective May 7, 2025 Real ID, Enhanced Driver License, or
Passport is required for Airline travel* * *

Gender Male Female Address Zip City State AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMHMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRPWRISCSDTNTXUTVAVIVTWAWIWVWY Date of Birth (Format: Month-Day-Year)
123456789101112 - 12345678910111213141516171819202122232425262728293031 - 191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Email Address Day Phone Cell Phone

Alternate Contact Information

Name Relationship Phone

Health Status

I can go up and down stairs: Without assistance With assistance Not at all
Do you use oxygen at any time? Yes How often/flow rate/when?

When we are ready to schedule you for your flight, more detailed health questions will be asked. However, do you have any health concerns that could impact your ability to take your Honor Flight if too much time were to pass (i.e., cancer diagnosis)? Please explain:

Service History

Branch of Service Rank
Service Timeframe

WWII

Korea

Cold War (1955-1964)

Vietnam

Other

If you answered Other, please describe your service timeframe
Years of Service (e.g., 1950-1953)
Activity during your service
Are there other veterans you want to travel with?

Yes

Please list Vet's names

Guardian

Would you like to travel with a specific guardian?

*Guardians may be family members or friends and must be between the ages
of 18 and 70. Spouses and significant others may not serve as guardians.

Guardian Name Guardian Relationship Guardian Phone Number Guardian E-mail Address Please assign an Honor Flight volunteer to travel with me as my Guardian

Yes

Terms and Agreement

I Agree to the Terms below

1. As photographic and video equipment are frequently used to document Honor Flight trips and events, I understand images of veterans may appear in a public forum, such as the media or on our website, to acknowledge, promote or advance the work of Honor Flight.

   I hereby release the photographer and Honor Flight from all claims and liability relating to said photographs. I hereby give permission for my images captured during Honor Flight activities to be used solely for the purposes of Honor Flight promotions and publications, and waive any rights of compensation or ownership thereto.

2. I further acknowledge that medical insurance is the responsibility of the veteran and I understand that neither Honor Flight nor the provider of aircraft provides medical care. I understand that I accept all risks associated with travel and other Honor Flight activities and will not hold Honor Flight, the Flight Provider, or any person appearing or quoted in any advertisement or public service announcement for or on the behalf of Honor Flight responsible for any injuries I may incur while participating in the Honor Flight Program.