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Honor Flight Central Coast California

Member of the Honor Flight Network

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Veteran Online Application

We suggest that you scroll down and look at what information will be needed before you start filling this out. You may need to gather information such as Emergency Contact and Physician Contact information along with all your medications. Alternatively you can fill out a paper application – click here.

* indicates a required field.

Veteran Application

  • Accepted file types: pdf, jpg, jpeg, png, gif.
    If you can upload a copy of the photo ID that you will use at the airport, please do so (max file size 2MB). If you can't upload the file, please send a copy to us ASAP via USPS (PO Box 1750, Paso Robles CA 93447). NOTE: Your application will be put on hold until this is received.
  • Service History

  • If Post Vietnam, please specify:
  • Emergency Contact Information

  • Additional Emergency Contact

    Please fill out an an additional emergency contact for someone living outside your home. If there is none please enter "none" in the fields and a bogus phone number.
  • Additional Information

  • Medical Information

    This permits us to assess the support we may need to provide during the trip including emergencies. Information is for Honor Flight and medical personnel only. A medical release form may be required from your physician. Attach a copy of your Do Not Resuscitate (DNR) order if those are your wishes.
  • To add more medications click the "+" at the right of the row. If you have none, enter "none".
    Medication TakenDosageHow Often 
  • Please list your physician's name and phone number in case of an emergency.
  • Accepted file types: pdf, jpg.
    If you have a DNR and want us to have it, please upload it. If you can't upload it now you can get it to us before the trip (max file size 5MB).
  • If you have had a seizure within the last 5 years we strongly advise you to discuss this trip with your physician.
  • If your motion sickness is not controlled by medications it is strongly advised that you discuss this trip with your physician.
  • If you use a nebulizer machine it is strongly advised that you discuss the use of portable hand-held nebulizers during this trip with your physician.
  • If you use oxygen you will need your physician to write a prescription for oxygen to be used during the flight and during the tour. The prescription must be turned in with the application and oxygen will be provided in Washington D.C.
  • It is strongly advised that you discuss the trip with your physician. If you have NOT flown since the open head injury, sinus or ear problem began, we strongly advise you to discuss the trip with your physician.
  • Please make sure your bag is vented prior to flight. If you do not know if your bag is vented, it is STRONGLY advised that you discuss this with your physician.
  • Consent

  • Please Review. You will be asked to sign this later
  • 1. As photographic and video equipment are frequently used to memorialize and document Honor Flight Central Coast California (HFCCC) and the Honor Flight Network (HFN) 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 HFCCC and the HFN program. I hereby release the photographer and HFCCC and the HFN from all claims and liability relating to said images. I hereby give permission for my images captured during HFCCC and the HFN activities through video, photo or other media, to be used solely for the purposes of HFCCC and the HFN promotional materials and publications, and waive any rights of compensation or ownership thereto.

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

    3. HFCCC provides flight cancellation and liability insurance for those listed on the HFCCC airline sponsored manifest.

    4. Refunds are dependent on the amount of funds that are returned to HFCCC from purchases made previously on the guardian’s behalf.

    5. The Veteran agrees to indemnify and hold the Honor Flight Central Coast California (HFCCC) and its board members harmless from and against any and all claims, liability, loss, expenses, suits, damages, judgments, demands, and costs (including reasonable legal fees and expenses) arising out of (i) the acts or omissions of HFCCC or its board members in connection with Tour of Honor or related events; or (ii) any accident, injury or death to persons, or loss of or damage to property, or fines and penalties which may result, in whole or in part, on a Tour of Honor or related events.

    6. I understand that the HFCCC Board reserves the right to deny any application at the Board’s discretion.



    Don't worry about signing it online. We will get your signature at a later date.




  • Signature: ________________________________________      Date: _______________________

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Honor Tour Photos (click photos to enlarge)

Veteran and Navy band member jamming
Veteran getting a big kiss!
Veterans laying a wreath at the Tomb of the Unknown Soldier
Veteran Welcome at Airport
Veteran at Korea Memorial

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Honor Flight Central Coast California
PO Box 1750
Paso Robles CA 93447

info@honorflightccc.org
(805) 610-4012

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A 501(c)(3) Organization
Everyone involved volunteers their time.
There is no paid staff.

 

 

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