Nickname Email * Phone * Mobile Phone Age Date of Birth * Occupation If Yes, please indicate branch of service and when and where you served: How did you learn about Hudson Valley Honor Flight? Why are you volunteering for Hudson Valley Honor Flight? Have you flown to Washington D.C. previously on an Honor Flight? If Yes, please note the Mission number or date. What special skills do you bring to the role of volunteer? Please list any organizations you belong to, such as VFW, American Legion, Elks, Rotary, etc. Please select all areas of interest: *
Check all that apply.
Check all that apply.
Please list at least one personal reference * Personal Reference 1 - Relationship Personal Reference 1 - Address Personal Reference 1 - Email * Personal Reference 1 - Phone Personal Reference 1 - Mobile Phone Personal Reference #2 (optional) Personal Reference 2 - Relationship Personal Reference 2 - Address Personal Reference 2 - Email Personal Reference 2 - Phone Personal Reference 2 - Mobile Phone Emergency Contact - Relationship Emergency Contact - Address Emergency Contact - Email * Emergency Contact - Phone Emergency Contact - Mobile Phone Please review carefully and sign:
The undersigned acknowledges and agrees that:
1. As photographic and video equipment are frequently used to memorialize and document Hudson Valley 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 Hudson Valley Honor Flight. I hereby release the photographer/videographer and Hudson Valley Honor Flight from all claims and liability relating to said photographs. I hereby give permission for my images captured during Hudson Valley Honor Flight activities through video, photo, or other media, to be used solely for the purposes of Hudson Valley Honor Flight promotional material and publications, and waive any rights or compensations or ownership thereto.
2. I further state that medical insurance is the responsibility of the Volunteer and I understand that Hudson Valley Honor Flight does NOT provide medical care. I understand that I accept all risks associated with travel and other Hudson Valley Honor Flight activities and will not hold Hudson Valley Honor Flight responsible for any injuries incurred by me while participating in the Hudson Valley Honor Flight program.
3. I also state that I agree to indemnify and hold harmless Hudson Valley Honor Flight, its agents and Board of Directors, from any and all liability arising out of or in consequence of, or injury sustained as a result of, any activity connected with myself or my child(ren) while participating in the Hudson Valley Honor Flight program. I agree to the above statements and wish to submit this information to Hudson Valley Honor Flight. *