Veteran Signup Veteran Signup Veteran Signup Name* First Last * Exactly as it appears on your Government Issued IDAddress* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Phone*Email* Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Used for booking flights and to verify age of 18+Closest Major City / Airport:* Upcoming Trip(s) that Most Interest Me:* White Water Rafting, May 28-31 (Nashville, TN OIF/OEF Vets only) Middle East Conflict Memorial Trip, Aug 2022 Women Veteran's Retreat - Destin, FL (Sep 2022) (Tennessee Vets Only) Medal of Honor Heritage Center Women Veteran's Retreat, Gatlinburg, TN (Oct 2022) Lake Powell Canyoneering / Kayaking, (Oct 26-31, 2022) Zion National Park Retreat (Jan 2023) Canyoneering / Backpacking, Zion, UT (Spring 2023) Summiting Mount Rainier, June 2023 Shirt / Hoodie Size*XSSMLXL2XL3XLShoe Size*Height* *Used to reserve correct gearWeight* *Used to reserve correct gearShoe Size*55.566.577.588.599.51010.51111.51212.51313.514*Used to reserve correct gearGlove Size*SmallMediumLargeX-Large*Used to reserve correct gearMilitary Branch*ArmyMarine CorpsNavyAir ForceCoast GuardHighest Rank Achieved* *Please include both abbreviation and full rank title (i.e. "SSG" and "Staff Sergeant"DD-214* Drop files here or Select files Accepted file types: jpg, png, doc, pdf, docx, psd, Max. file size: 10 MB, Max. files: 2. * To verify Honorable DischargeFood Allergies / Dietary Restrictions:* *Type "none" if not applicableInjuries, Limitations, Special Conditions:** Type "none" if not applicableHow did you hear about Waypoint Vets?*Describe the Reason(s) for Your Interest in Waypoint Vets:*Rate Your Fitness Level:*Zero Activity23Some Activity56Exercise Regularly89AthleticRate Your Mental Health:*At Peace23456789At RiskPlease Share a Little About Yourself:*What Do You Hope to Gain and/or Overcome?*Flight cost: I'm able to cover the full cost of my round trip flight (est. $250-$400) I'm able to cover 50% of my round trip flight (est. $125-$200) Please cover the full cost of my round trip flight Helping toward the cost of your flight is totally optional. If you are able to comfortably cover some or all of your flight cost, it will simply enable Waypoint to cover more Veterans who are unable to do so. #VetsHelpingVetsAcknowledgement* I hereby certify that the above information is true and correct to the best of my knowledge. Our adventures are geared toward small groups, and may fill up quickly. I understand that the Veterans on our Participant List are first come first served by the order in which forms submissions are received. By submitting this form, I am securing my spot in the participant queue. All fields required for participation form submission Δ Share this:Click to print (Opens in new window)Click to email this to a friend (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Pinterest (Opens in new window)Like this:Like Loading...
