Guardian Application Guardian Application Please Note: You CANNOT be the Guardian for your SpouseHonor 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.) For further information, please contact us at (563) 690-0815 or www.honorflightdbq.org. Thank you for your support.Your InformationPlease list your full first, middle, and last name as it appears on your driver’s license or government ID.First Name *Full First Name (no nicknames or shortened names)Middle Name *Full Middle NameLast Name *Full Last NameStreet Address *Apartment, suite, etcCity *State *ZIP Code *Best Contact Phone Number *GenderMaleFemaleEmail AddressAgeDate of BirthShirt SizeChoose sizeSmallMediumLargeXL2X3X4X5XWeightAre you a veteran?YesNoIf a veteran, please indicate branch of service and years served:BranchWhat years did you serve?How did you learn about the Honor Flight organization?Why are you volunteering for Honor Flight?Please list any prior volunteer experienceAre you requesting to travel with a specific veteran, if possible?YesNoIf yes, please name the veteran (please note that completed veteran application must be submitted separately)There are NO GUARANTEES you will be chosen.Emergency Contact Information(Person to contact the day you travel.)NameRelationship to applicant:Street AddressCityStateZIP CodeBest Contact Phone NumberOther InformationAre you able to push a veteran in a wheelchair up a slight incline?YesNoCan you lift 100 pounds?YesNoDo you have allergies?YesNoIf yes, what are they?Please identify any physical disabilities, restrictions and/or medical conditions that would limit your ability to fulfill the duties of a guardian:Please list any medications being taken and how often:Please note any medical experience you may have (e.g., EMT, CPR, Paramedics):Effective May 7, 2025 you must have the Gold Star on your Driver's License and /or your ID card to be on an Honor Flight.Do you have the Gold Star on your Driver License?YesNoIf you do not have the Gold Star as of May 7, 2025 you will not be allowed to fly. (Allow 3 to 6 weeks to have the Star added.)Please review carefully and sign:The undersigned acknowledges and agrees that: As photographic and video equipment are frequently used to memorialize and document Honor Flight trips and events his/her image may appear in a public forum, such as the media or website, to acknowledge, promote or advance the work of the Honor Flight program. I hereby release the photographer and Honor Flight from all claims and liability relating to said photographs. I hereby give permission for my images captured during Honor Flight activities through video, photo or any other media, to be used solely for the purposes of Honor Flight promotional material and publications, and waive any rights or compensation or ownership thereto. I further state that medical insurance is the responsibility of the guardian that neither Honor Flight nor the provider of free private aircraft (flight provider) provides medical care. I understand that I accept all risks associated with travel and other Honor Flight Network activities and will not hold Honor Flight, the flight provider, or any other person appearing or quoted in any advertisement or public service announcement for or on behalf of Honor Flight responsible for any injuries incurred by me while participating in the Honor Flight program. SignedBy typing your name, you acknowledge the above.Date *Submit ApplicationPlease do not fill in this field.
Honor Flight of Dubuque and the Tri-StatesHonor Flight of Dubuque and the Tri-States