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Printable Application
 
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Proud Member of the
Honor Flight Network
 
Honor Flight
Historic Triangle
Information Video
 
Why Do We Do This?

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Online Guardian Application

Honor Flight Historic Triangle Virginia (HFHTVA) would not be successful without the efforts and support of our Guardians. They play a critical role to ensure every veteran has a safe and memorable experience. Duties include but are not limited to physically assisting the veterans from the time of departure until their return. Guardians are required to make a minimum donation of $100 to cover the cost of their own expenses, but contributions in larger amounts are greatly appreciated. Guardians will also need to attend a mandatory training session that will be scheduled approximately two weeks before the trip. Training sessions are conducted in Richmond, Hampton and Norfolk for the convenience of Guardians. Communication is exclusively by email so Guardians must provide an email address that they monitor frequently.

HFHTVA cannot know how many guardians will be needed for any specific trip until all the applications from veterans are in and we can begin matching veterans to the most qualified guardians. You may check our website (www.HonorFlightHTVA.org) or email us any time to determine the date of the next scheduled trip. Guardians selected to go on specific trips will be notified as soon as possible, but will usually be contacted approximately four weeks prior to the scheduled date.

For further information, please contact us via e-mail at contact@honorflighthtva.org, by phone at 1-800-619-0578 (757-655-4342 if you live in the Hampton Roads area), or you can visit our website. We thank you for your support!

Instructions:
(1)Please complete all of the items in this online appplication or CLICK HERE to print a paper copy that can be completed and mailed to us.
(2)You will be notified as soon as possible of your selection and assignment to accompany a Veteran.
(3)You will be required to attend a training session before our trip.
You will be asked to contribute at least $100.00 to our cause that will be used to offset the cost of your travel and meals. MAKE YOUR CONTRIBUTION NOW

Thank you sincerely for your contribution of time and money. We know for a fact that you will consider your time as a Guardian as a once-in-a-lifetime experience!
Please enter the letters displayed above.
Your Name (As it Appears on Your ID):  Help/More Info
Nickname (if applicable):
Street Address:
City:
State:
Zip Code:
Phone (Home):
Phone (Cell):
Your Age:
Your Weight:
Gender:
Male
Female
Email Address:
How Did You Hear About Honor Flight Historic Triangle Virginia:
Have You Been an Honor Flight Guardian Before and When:
If You Have Been a Guardian for HFHTVA Do You Need a New Jacket:
Yes
No
If You Have Been a Guardian for HFHTVA Do You Need a New T Shirt:
Yes
No
T Shirt -- Jacket Size:
Small
Medium
Large
X Large
XX Large
XXX Large
Departure Point (Where Do You Want to Start Your Trip:
Virginia Beach
Richmond
Williamsburg
Are You A Veteran:
Yes
No
If A Veteran Which Branch and When - Where Served:
Why Are You Volunteering for Honor Flight Historic Triangle Virginia:
Please List Any Prior Volunteer Experience (Other Than Honor Flight):
Emergency Contact (Available by Phone on Day of Travel):
Emergency Contact Relationship:
Emergency Contact Street Address:
Emergency Contact City:
Emergency Contact State:
Emergency Contact Zip Code:
Emergency Contact Primary Phone:
Emergency Contact Alternate Phone:
Emergency Contact Email Address:
Personal Reference (Someone Who Can Speak to Your Character):
Personal Reference Relationship:  Help/More Info
Personal Reference Street Address:
Personal Reference City:
Personal Reference State:
Personal Reference Zip Code:
Personal Reference Primary Phone:
Personal Reference Alternate Phone:
Personal Reference Email Address:
Are You Requesting to Travel with a Specific Veteran:
Yes
No
If Yes Veterans Name:  Help/More Info
If Yes Veterans Phone Number:  Help/More Info
Are You Able to Push a Wheelchair for Up to 2 Hours:
Yes
No
List Any Physical Disabilities or Medical Conditions That May Limit Your Ability to be a Guardian:
List Any Medical Education Certifications or Experience You May Have:  Help/More Info
Please Indicate That You Have Read and Understand Our Instructions and Covenants Listed Below:  Help/More Info
Yes
No

 


As a Guardian for an Honor Flight trip you acknowledge and agree that:
1) As photographic and video equipment are frequently used to memorialize and document Honor Flight Historic Triangle Virginia trips and events, my 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 Historic Triangle Virginia program. I hereby release the photographer and Honor Flight Historic Triangle Virginia from all claims and liability relating to said photographs. I hereby give permission for my images captured during Honor Flight Historic Triangle Virginia activities through video, photo, or other media, to be used solely for the purposes of Honor Flight Historic Triangle Virginia promotional material and publications and waive any rights of compensation or ownership thereto. Media coverage of our trips is the best method for us to promote the program to other veterans. This coverage may include the names of participants. I hereby release the use of my name for this purpose unless I provide written restriction before the trip.
2) Medical insurance is my responsibility and I understand that Honor Flight Historic Triangle Virginia does not provide medical care. I understand that I accept all risks associated with travel and other Honor Flight Historic Triangle Virginia activities and will not hold Honor Flight Historic Triangle Virginia responsible for any injuries incurred by me while participating in the Honor Flight Historic Triangle Virginia program.

COVENANT NOT TO SUE AND INDEMNITY AGREEMENT
I, _____________________________________, am about to voluntarily participate as a passenger in various activities, including being transported by bus to Washington, DC by Honor Flight Historic Triangle Virginia, Inc. In consideration of this organization permitting me to participate in these activities, I, for myself, my heirs, administrators, executors and assigns, hereby covenant and agree that I will never institute, prosecute, or in any way aid in the institution or prosecution of any demand, claim or suit against the organization known as Honor Flight Historic Triangle Virginia, Inc. for any destruction, loss, damage or injury (including death) to my person or property which may occur from any cause whatsoever as a result of my participation in the activities of the Honor Flight Historic Triangle Virginia, Inc. organization.
If I, my heirs, administrators, executors or assigns should demand, claim, sue or aid in any way in such a demand, claim or suit, I agree, for myself, my heirs, administrators, executors, and assigns to indemnify the Honor Flight Historic Triangle Virginia, Inc. organization for all damages, expenses and costs it may incur as a result thereof.
I know, understand, and agree that I am freely assuming the risk of my personal injury, death or property damage, loss or destruction that may result while participating in Honor Flight Historic Triangle Virginia, Inc. activities, including such injuries, death, damage, loss or destruction as may be caused by the negligence of the Honor Flight Historic Triangle Virginia, Inc. organization.
I also understand and agree that I may be held liable for any damages or loss to the Honor Flight Historic Triangle Virginia, Inc. organization which is caused by my gross negligence, willful misconduct, dishonesty or fraud and for limited damages or loss to the Honor Flight Historic Triangle Virginia, Inc. organization which is caused by my simple negligence.
I further understand that the term Honor Flight Historic Triangle Virginia, Inc. organization includes the non-profit organization known as Honor Flight, Inc., any officer, agent and/or employee thereof.
Signature *: ___________________________________________________ Date: ___________________________
Parent / Guardian Printed Name **: ________________________________ Signature **: _________________________

(If Applicable)
* E-mail applicants Will be asked to sign prior to completing Guardian Training
** If applicant is under 18, a parent / guardian must also print and sign their name




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