Guardian Requirements: (Please check after you read these requirements.)
oghfapplications@gmail.com or at 920-544-2399 and our applications coordinator will assist you.www.oldgloryhonorflight.org . GUARDIAN INFORMATION NAME * (Please be sure to enter your FULL middle name and any titles that are a legal part of your name such as Jr. Sr., etc. If you have no middle name please enter "NMN")
* First Name:
* Full Middle Name:
* Last Name:
* Gender:
* Address:
* City:
* State:Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
* Zip:
* Daytime Phone Number:
Evening Phone Number:
Cell Phone Number:
* E-Mail:
* Date of Birth:
Month Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
* Occupation:
* Tee Shirt Size (Men's Sizes):
* Have you flown with Old Glory Honor Flight before as a Guardian?
* Are you a Veteran?
Branch of Service: Army Navy Air Force Marines Coast Guard
Please share something about your service. (i.e. conflict served, where you served, what MOS, dates, unit, etc.):
Emergency contact: This is the person we would contact on flight day if an emergency arises:
Emergency Contact Full Name
* First Name:
* Last Name:
* Relationship:
E-Mail:
Phone Number
* Daytime Phone Number:
Cell Phone Number:
* Are you requesting to fly with a specific Veteran?
Veteran's Name
First Name:
Last Name:
If we cannot pair you with the Veteran you requested do you wish to remain on the list for a future flight?
Please identify any physical disabilities, restrictions and/or medical conditions that would limit your ability to fulfill the duties of a guardian:
Please review and check.
PLEASE REVIEW CAREFULLY AND CHECK THE BOX INDICATING YOU HAVE READ THE INFORMATION AND UNDERSTAND THE CONTENT.
I have completed this application to the best of my ability and understand the content and the information that was provided within.
* First Name:
* Last Name:
Please note: We have a long waiting list for guardians. You will be contacted by an OGHF volunteer when it’s your turn to go. Questions? Please call (920) 257-2563 and leave a message. One of our volunteers will return your call as soon as they are able.
Please verify by checking "I'm not a robot" below.
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