Gold Star Family Application

Applicant Name

Date of Birth

Date

Address

Phone

Email

example@example.com

Emergency Contact Name

Emergency Contact phone

Email

example@example.com

Social Media Links FB or IG

Deployments your service member was on

Service members name

List any limitations or anything we may need to assist you:

Are you proficient in archery?

Would you like to be proficient in archery?

Shirt Size

Please explain what a hunting and fishing event would mean to you and why you should be considered

Would you rather fish, hunt or hike

What would you like to be considered for the most

Do you hold any points for any states that if you were drawn you could go

Thank you for filling out your application with us. Please submit applications by email to crystal@veteransoutdooortherapy.org for consideration. We are limited to events and funding but will do our best to get you in.