Southeast Missouri Honor Flight Veteran Application

Beginning May 2025, TSA will require REAL ID license, valid passport, retired military ID, or VA medical ID card to board a plane. Arlington National Cemetery (ANC) and the Military Women's Memorial (MWM) are federal facilities and has implemented strict new security protocols to comply with the REAL ID Act. All individuals over the age of 18 entering the cemetery in a vehicle, which includes our Honor Flight buses, are now required to present REAL ID-compliant identification.

Name*

First NameMiddle NameLast Name

Nick Name

Date of Birth*

Date

Gender*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Hometown (City & State) where you grew up

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

YesNo

Email*

example@example.com

Shirt Size*

Branch of Service*

Your application will be entered into our database based on the date received. Priority goes to any critically ill Veteran, then WWII Vets (service 1948 and earlier), then Korean War Vets (service 1949 – 1954), then Vietnam (service 1955 – 1975).

Service Dates (enter - discharged)*

Activity (job) during your tour of service*

Rank

First Emergency Contact Name (not on trip with you)*

First Emergency Contact Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

First Emergency Contact Relationship*

Second Emergency Contact Name (not on trip with you)*

Second Emergency Contact Relationship*

Second Emergency Contact Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Are you requesting to travel with a specific Veteran, if so list Veteran below

Requested Veteran

If you would like to have a specific relative or friend serve as your Guardian Escort, please provide his/her name and phone number. Your spouse is NOT eligible to serve as your guardian. A child, grandchild, relative, or friend is welcome to apply as your Guardian Escort (must be between the ages of 18 and 70). He/she must
submit a Guardian application

Guardian Name (non-spouse/partner)

Guardian Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

PLEASE REVIEW CAREFULLY and SIGN:

The undersigned acknowledges and agrees that:

1. As photographic and video equipment are frequently used to memorialize and document Honor Flight trips and events, your image may appear in a public forum, such as the media, Facebook, or a website, etc., to acknowledge, promote or advance the work of the Honor Flight program. I hereby release the photographer and SEMOHF, Inc. from all claims and liabilities relating to said photographs. I hereby give permission for my images captured during Honor Flight activities through video, photo, or other media, to be used solely for the purpose of Honor Flight promotional material and publications and waive any rights or compensation or ownership thereto.

2. I further state that medical insurance is the responsibility of the veteran, and I understand that Honor Flight does NOT provide medical care. I understand that I accept all risks associated with travel and other Honor Flight activities and will not hold SEMOHF, Inc. responsible for any illnesses or injuries incurred by me while participating in the Honor Flight program.

3. In addition, any errors or omissions in this application may be reason to deny your participation.

4. Applications are prioritized based on when the veteran served and when we receive the application. Priority is given to Veterans with terminal illnesses. If you are contacted to go on a flight and for whatever reason cannot go at that time, you can defer. You will be put back on the wait list and contacted for a future trip

Signature*