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Veteran Application

"*" indicates required fields

Veteran Details

Name*
Enter your name exactly as it appears on your driver’s license or passport!
Date of Birth*
Gender*
Address*

Alternate Contact Information

Health Status

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

Service Timeframe*
(e.g. , 1950-1953)
Are there other veterans you want to travel with?*

Guardian Details

*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 Preference
Consent*
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.
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Contact

Honor Flight Rochester, Inc.
PO Box 23581
Rochester, NY 14692

Phone: 585-210-2115

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