BOATING PROGRAM APPLICATION
Complete the form below to apply for one of our boating expeditions. These boating trips are offered at no cost to qualified individuals (Anyone who is currently serving in the Armed Forces, Veterans and Family Members who have endured the death of a Military Warrior).
First:
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Middle :
Last:
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Gender:
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Male
Female
Phone Number
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Area Code
Phone Number
Phone Type
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Cell
Home
Work
Other Phone Number
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Area Code
Phone Number
Phone Type
Cell
Home
Work
Best Contact Time
E-mail:
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Status:
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Serving in Military
Veteran
Gold Star Parent
Gold Star Spouse
Gold Star Child
Relationship to Deceased Service Member:
*
Brother in Arms
Parent
Spouse
Child
Sibling
Grandparent
Fiancé
Significant Other
Care Giver
Aunt
Uncle
Cousin
Full Name of Deceased Service Member :
*
Gender :
*
Male
Female
Branch of Service
*
Army
Air-Force
Coast Guard
Marines
Navy
National Reserves
Last Rank
Service Members DOD
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I do, of my own free will and accord, solemnly promise and declare that:
The above information is true. I attest that I am a citizen of the United States. I am a patriot. If I am currently serving or a Veteran my Military Service is/was honorable. If my relative served, their Military Service was honorable. By submitting this application I understand that I will be contacted by a program manager of FAVE Boating Expeditions or of Eyes on the Sky's - Project Corregidor.
Contact me about (check all interested in):
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A Boating Trip to Island
A Fishing Trip
A Kayak or Canoe Trip
By typing my initials in this box it acts as my signature:
*
Todays Date:
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Month
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