Guardian Application

Guardian Application
(rev. 05-Dec-2022)
Note: Applicants between the ages of 18-69 can apply to be a guardian. Husbands, wives or "significant others" of veterans cannot be their guardians. If chosen, you will be required to pay the cost of the trip, which is $500 and attend a mandatory guardian training session (prior to the preflight banquet).

If you are requesting to fly with a specific veteran, your application MUST be received PRIOR to the veteran being called to go on a specific flight, for your application to be considered

Husbands, wives or "significant others" of veterans cannot be their guardian or fly on their flight as someone else’s guardian.

Never Forgotten Honor Flight would not be successful without the generous support of our guardians.
Guardians play a significant role on every trip, ensuring that every veteran has a safe and memorable experience. Duties include, but are not limited to, physically assisting the veterans at the airport, during the flight and at the memorials. Guardians are also responsible for their own expenses (airline fare, etc.)
We do take requests to accompany a veteran, but it is not possible to honor all requests.

All Never Forgotten Honor Flights originate from Central Wisconsin Airport, Mosinee, WI. For further information please contact us at (715)573-8519 or visit us at www.neverforgottenhonorflight.org

Please list one (1) personal Reference.
Ref Full Name

Ref First NameRef Last Name
Ref Relationship
Ref Address

Ref Street Address

Street Address Line 2

Ref CityRef State / Province

Ref Postal / Zip Code
Ref E-mail
Ref Phone Number

Area CodePhone Number
Ref Cell Phone Number

Area CodePhone Number
Emergency Contact (Someone available the day you travel)
EContact Full Name*

ECont First NameECont Last Name
Relationship
ECont Address*

ECont Street Address

Street Address Line 2

ECont CityECont State / Province

ECont Postal / Zip Code
ECont E-mail
ECont Phone Number*

Area CodePhone Number
ECont Cell Phone Number

Area CodePhone Number
Are you requesting to travel with a specific Veteran, if possible?*

YesNo
If yes, please provide the requested Veterans's name?
Veteran's Name

Vet First NameVet Last Name
It may not be possible to fulfill all specific Veteran requests. If we are not able to pair you with your requested Veteran, do you wish to remain on the Guardian List for a future Flight?

YesNo
Additional comments or concerns

Medical Information

Information provided will not disqualify you from taking the trip. It permits us to assess the support we need during the trip. Information is for Honor Flight and Medical Personnel only. If you have concerns regarding any of your medical issues, we strongly advise you to discuss the trip with your private physician.

Medications
Medication1
Time of day for medication 1
Medication2
Time of day for medication 2
Medication3
Time of day for medication 3
Medication 4
Time of day for medication 4
Medication5
Time of day for medication 5
Medication6
Time of day for medication 6
Medication 7
Time of day for medication 7
Medication 8
Time of day for medication 8

PLEASE REVIEW CAREFULLY AND SIGN:

The undersigned acknowledges and agrees that:

1. As photographic and video equipment are frequently used to memorialize and document Never Forgotten Honor Flight trips and events, my image may appear in a public forum, such as the media or a website, to acknowledge, promote or advance the work of the Never Forgotten Honor Flight program. I hereby release the photographer and Never Forgotten Honor Flight from all claims and liability relating to said photographs. I hereby give permission for my images captured during Never Forgotten Honor Flight activities through video, photo, or other media, to be used solely for the purposes of Never Forgotten Honor Flight promotional material and publications and waive any rights of compensation or ownership thereto. I further consent to my name and telephone number being given to news media to allow them to contact me for interviews. I understand I do not have to consent to be interviewed by the news media if I do not wish to do so.

2. I further state that medical insurance is the responsibility of the guardian and I understand that neither Never Forgotten Honor Flight nor the provider of free private/airline aircraft (the flight provider) provides medical care. I understand that I accept all risk associated with travel and other Honor Flight Network Activities and will not hold Never Forgotten Honor Flight, the flight provider, or any person appearing or quoted in any advertisement or public service announcement for or on behalf of Never Forgotten Honor Flight responsible for any injuries incurred by me while participating in the Never Forgotten Honor Flight program.
Guardian Sign*

Signed First NameSigned Last Name
Beginning May 3, 2023 and beyond, please be aware that Transportation Security Administration will require all air travelers to have an ID that meets “real ID” requirements in order to pass through security and board any commercial aircraft, including Honor Flights. A “Real ID” is a valid Wisconsin Driver’s License with a STAR in the upper right-hand corner; or if you have a current USA passport or Military Retiree ID, they also qualify as a “Real ID”. It currently could take up to 90 days to receive a new “Real ID” driver’s license. Please note: VA medical cards DO NOT meet “Real ID” TSA requirements. For complete information on Real ID Requirements please go to the following web page. https://www.tsa.gov/real-id
Are you a First Responder?

EMTParamedicFirefighterPolice OfficerNurseDoctor
rev. Nov. 18, 2019
Should be Empty:

Guardian Application

Medical Information