Walleye Fishing Interest Form
Please note: If you don't already have the required fishing license, you will need to purchase one and have a paper copy with you during the fishing trip.
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Have you participated in an Honor and Valor Outdoors trip before?
*
Yes
No
Military History
Branch of Miliary
*
Please Select
Army
Marines
Air Force
Navy
Other
Years of Service
*
Date of Discharge
*
-
Month
-
Day
Year
Date
Honorably Discharged
*
Yes
No
Trip Information
Have you fished before?
*
Yes
No
Do you possess a fishing license? If so, you will need a paper copy during the trip.
*
Yes
No
Are you interested in bringing a family member or friend along for the trip? Please note: not every trip allows a plus one
*
Yes
No
Do you have access to rain gear?
*
Yes
No
What size life jacket do you wear?
*
Small
Medium
Large
X-Large
XXL
XXXL
What size t-shirt/sweatshirt do you wear?
*
Small
Medium
Large
X-Large
XXL
Emergency Contact Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Relationship
*
Comments or questions?
Waiver & Signature
Signature
*
Today's Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: