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 FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin 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:* The Trip(s) that BEST fit me are:* WINTER 2023: Nama-Stay Zion Retreat SPRING 2023: Utah Canyoneering SPRING 2023: SC White Water Rafting SUMMER 2023: Mount Rainier Climb SUMMER 2023: TN White Water Rafting FALL 2023: Destin Women Veterans Retreat FALL 2023: Gatlinburg Women Vets Retreat FALL 2023: Lake Powell Canyoneering / House Boat Please give careful thought and only choose the trips that truly most resonate with you.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?*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.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 a link 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...
