Veteran Application

Hudson Valley Honor Flight honors American veterans for your sacrifices and achievements by taking you to Washington, D.C. to see YOUR memorial at no cost. At this time, priority is given to WWII veterans and terminally ill veterans from all wars. For Honor Flight Network to achieve this goal, guardians fly with veterans on every flight providing assistance and helping veterans have a safe, memorable and rewarding experience. For what you and your comrades have given to us, please consider this a small token of appreciation on behalf of Hudson Valley Honor Flight.

For further information, please contact us at 845-391-0076.

(Please list Your First, Middle & Last Name as it appears on your driver’s license or government ID.)
(S, M, L, XL, XXL, XXXL)
Branch of Service

Emergency Contact

(This person must be available in the local area the day you travel.)

Emergency Contact #2

(This person must be available in the local area the day you travel.)

Guardian

This person must submit a Guardian Application.

Transportation

Veterans MAY NOT drive themselves on Flight Day.
If needed.

Medical Background

If within past 5 years, we STRONGLY recommend discussing this trip with your private physician.
If motion sickness is not controlled with medication, it is STRONGLY advised you discuss the trip with your private physician!
If YES, you are STRONGLY encouraged to discuss the trip with your private physician concerning the use of portable hand-held nebulizers during the trip.
If YES, you will need your private physician to write a prescription for oxygen to be used during the flight and during the tour. The prescription should be turned in with the application.
If YES, it is STRONGLY advised that you discuss the trip with your private physician. If you have NEVER flown since the open head injury, sinus or ear problems, again we STRONGLY advise that you discuss the trip with your private physician.
If YES, please make sure the bag is vented prior to flight. If you do not know if your bag is vented, it is STRONGLY advised that you discuss this issue with your private physician.

Please Review Carefully and Check Box Below:

The undersigned acknowledges and agrees that:

1. As photographic and video equipment are frequently used to memorialize and document Honor Flight trips and events, his/her image may appear in a public forum, such as the media or a website, to acknowledge, promote or advance the work of the Honor Flight program. 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 through video, photo, or other media, to be used solely for the purposes of Honor Flight promotional material and publications, and waive any rights or compensation or ownership thereto.

2. I further state that medical insurance is the responsibility of the veteran and I understand that neither Honor Flight nor the provider of free private aircraft ("Flight Provider") provides medical care. I understand that I accept all risks associated with travel and other Honor Flight Network 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 behalf of Honor Flight responsible for any injuries incurred by me while participating in the Honor Flight program.
Please provide current date and time.