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Mission Veteran Expedition

Name: Mission Veteran Expedition
Start: 2022-09-08T08:00:00+00:00
End: 2022-09-11T17:00:00+00:00

September 8 @ 8:00 am – September 11 @ 5:00 pm UTC+0

Waypoint Vets and Veterans in Trucking are partnering to deliver Mission Veteran Expedition: An empowering healing experience focused on camaraderie and peace for Veterans in the trucking industry. If you’ve been selected by your carrier, please fill out the following form to participate:

Mission Veteran Expedition

Participation Form

Name*
First Last
* Exactly as it appears on your Government Issued ID
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of Birth*
Used for booking flights and to verify age of 18+
Closest Major City / Airport:*
Carrier:*
Shirt / Hoodie Size*
Height*

*Used to reserve correct gear
Weight*

*Used to reserve correct gear
Shoe Size*
*Used to reserve correct gear
Glove Size*
*Used to reserve correct gear
Military Branch*
Highest Rank Achieved*

*Please include both abbreviation and full rank title (i.e. "SSG" and "Staff Sergeant"
DD-214 (to verify Honorable Discharge)
Drop files here or

Accepted file types: jpg, png, doc, pdf, docx, psd, Max. file size: 10 MB, Max. files: 2.
*Upload here or email separately later
Waypoint Waiver
Max. file size: 50 MB.
*Upload here or email separately later
CUB Ventures Release
Max. file size: 50 MB.
*Upload here or email separately later
Allergies / Food Allergies / Dietary Restrictions:*

*Type "none" if not applicable
Injuries, Limitations, Medical Conditions:*
* Type "none" if not applicable
How did you hear about Waypoint Vets?*
Describe the Reason(s) for Your Interest in Waypoint Vets:*
Rate Your Fitness Level:*
Rate Your Mental Health:*
Please Share a Little About Yourself:*
What Do You Hope to Gain and/or Overcome?*
Room Sharing*
- I'm willing to share a room (same sex)
- Please consider a private room for me
*Sharing a room enables us to include more veterans on our trips.
Emergency Contact:*
First Last
Relationship*
Emergency Contact Phone:*
Emergency Contact Email*
Acknowledgement*
- My information is true and correct, and I consent to the following policy, waiver, release, and acknowledgement.
I hereby certify that the above information is true and correct to the best of my knowledge. I understand that the information or documentation I have provided is confidential and will not be shared outside of our Organizations. Photos and video may be used to memorialize the trip. I grant permission for this media to be used or published to advance and promote the missions of Waypoint Vets, Veterans in Trucking, and CDL Life. I waive ownership and compensation for use of these materials. I understand that my medical insurance is my responsibility and that Waypoint Vets, Veterans in Trucking, and CDL Life and its owners, agents, officers, employees, and volunteers do not provide medical care or compensation. I accept all risks associated with travel and other activities and will not hold Waypoint Vets, Veterans in Trucking, and CDL Life or its owners, agents, officers, employees, or volunteers responsible for any injury or loss I may suffer while participating. I understand this is a substance free experience / "dry" trip and support / respect these guidelines. I will not bring, use, purchase, or obtain illegal substances or firearms while on this trip. Checking this box and clicking Submit acts as a digital signature, agreeing to our waiver and terms.

Mission Veteran Expedition

September 8 @ 8:00 am – September 11 @ 5:00 pm UTC+0

Mission Veteran Expedition

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