Below is an application that is required to be submitted to Honor Vets Flight if you are interested in going on one or more of our trips to Washington D.C. to tour the memorials. Please read over the application to gather the information necessary to answer all of the questions. You may click on the link provided to get a printable copy of this form to be filled out and mailed in or you may call Alan and have one sent to you. We will be sending these out via USPS to all of the currently registered veterans who have submitted their information for the registry. If you have submitted your information and have not received this form in the mail, please call Alan at 828-317-9518. Honor Vets Flight Application will be downloaded in M.S. Word format to be completed and mailed in to the address on the form. Click here to download the form |
Honor Vets Flight
| Veterans are our most precious natural resource |
Honor Vets Flight Application
| Webmaster: Alan Mainer A.R.M. Enterprises Copyrighted and All rights reserved |
| Honor VETS Flight Application www.honorvetsflight.org Honor VETS Flight is a program initiated to fly veterans to Washington, D.C. to tour Memorials constructed in honor of their service to our country. The flight, tour and meals will be provided at NO cost to the veteran. Flights will depart Asheville at approximately 9:00 AM, land in Washington, D.C.’s Dulles Airport approximately 10:15 AM, tour the Memorials, eat lunch and return to Asheville at approximately 6:00 PM. Honor VETS Flight is a non-profit organization using the McDowell County Veterans Council as a designated 501c organization. All donations are tax deductible. 1. Do you believe you can go on a trip to Washington, D.C. to tour the Monument? 1. Yes ____ (continue with the remainder of this form) 2. No ____ (please sign and return this form unanswered to the address at the bottom of the form. 2. Would you have a PROBLEM flying in a small, light aircraft? 1. Yes ___ 2. No ___ 3. Do you have a PROBLEM with MOTION, SEA or AIR SICKNESS? 1. Yes ___ 2. No __ 4. Do you have any BREATHING PROBLEMS or use OXYGEN at any time? 1. Yes ___ 2. No ___ 5. Do you use a CANE, WALKER, CRUTCHES or WHEELCHAIR? 1. Yes ___ 2. No ___ 6. Would you have a PROBLEM walking the length of a football field without assistance? List reason in the remarks section (i.e.) arthritis, lung problems, bad knee, etc). 1. Yes ___ 2. No ____ 7. Do you have a history of open head injury, sinus problems, ear problems, urostomy or colonoscopy bag? 1. Yes ___ 2. No ___ 8. Do you have a history of epilepsy or seizure disorder (grand mal, petit mal, Other)? (indicate your last seizure in the remarks section.) 1. Yes ___ 2. No ___ 9. How much do you weigh (be truthful) ____________ lbs 10. List the medications you are presently taking and how often you take them. Medication How often 1.______________________ _____________________________ 2.______________________ _____________________________ 3.______________________ _____________________________ 4. ______________________ _____________________________ 5. ______________________ _____________________________ 6. ______________________ _____________________________ 7. ______________________ _____________________________ 8. ______________________ _____________________________ 11. Print your FIRST AND LAST NAME on the line below (required) _____________________________________________________________________ 12. Phone number with area code where you can be reached. (required) _____________________________________________________________________ 13. Address with City, State and Zip Code (required) _____________________________________________________________________ 14. E-Mail where you can be reached. (optional) _____________________________________________________________________ 15. Any additional remarks? If you answered Yes to any questions, PLEASE explain further. Answering YES does not necessarily disqualify you from the flight, it just allows us to know your health issues and status for your safety and ours. _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Signature: (required) __________________________________________________ Please return this form to: CVSO 100 Spaulding Road Marion, N.C. 28752 |
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| The World War II Memorial |