Combat Marine Outdoors
Warrior Bio Info Sheet
Please upload a military photo of yourself
*
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In uniform is preferred
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Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Rank
*
Branch of Service
*
Reg/Batt/Comp:
*
Purple Heart
*
Yes or No
CAR or Combat Action Badge
*
Yes or No
Injured in theater
*
Yes or No
Personal Major Military Decorations
*
Deployments Place/Year
*
Hometown
*
City, State
Closest Major Airport
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dietary Restrictions
*
Any Medication Concerns
*
Shirt Size
*
Hat Size
*
Cell Number
*
Birth Date for Airline
*
Do you have a hunter safety card?
*
Case Worker, VA Case Mgr, Disc:
*
VA Disability Rating
*
Emergency Contact Name
*
Include First Name and Last Name
Emergency Contact Relationship
*
Example: Spouse, Friend, Parent etc...
Emergency Contact Cell Phone Number
*
Provide cell phone for emergencies.
Facebook link
*
Is it ok to use photos from the hunt on our website?
*
Yes or No
Please upload DD214 (with Continuation page if applicable)
*
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Upload as a PDF
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Save
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