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2023 Hike Registration
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Search for:
2023 Hike Registration
Home
Who We Are
The SAVE22 Story
Who is Damian?
The Survivor
Get Involved
Hikes
Event Request Application
Programs Application
Volunteer Application
Programs
Our Programs
Art
Fishing
Golf
Motorsports
Nature Activities
Programs Application
Remembrance Wall
Remembrance Wall
Submit Entry
Contact
Donate
Gear
2023 Hike Registration
Home
Who We Are
The SAVE22 Story
Who is Damian?
The Survivor
Get Involved
Hikes
Event Request Application
Programs Application
Volunteer Application
Programs
Our Programs
Art
Fishing
Golf
Motorsports
Nature Activities
Programs Application
Remembrance Wall
Remembrance Wall
Submit Entry
Contact
Donate
Gear
Programs Application
Jason Rutledge
2022-05-16T16:40:42-04:00
PROGRAMS REQUEST SUBMISSION FORM
Your name
*
Phone number
*
Email address
*
City
*
State
*
Zip
*
How did you hear about SAVE22?
*
Social Media
Website
SAVE22 Event
Civilian Friend
Veteran Friend
VA
What programs are you interested in?
*
Fishing Trip - Ohio
Fishing Trip - Carolinas
Golfing Trip - Ohio
Golfing Trip - Carolinas
Art Therapy
Motorsports
Nature Activities
In which branch did you serve?
*
Air Force
Army
Coast Guard
Marine Corp
Navy
Space Force
LEO
EMS
Fire
Family / Spouse
Deployment Locations
OEF
OIF
OND
Desert Storm
Desert Shield
Vietnam
Bosnia
Cold War
Grenada
Haiti
Kosovo
Kuwait
Lebanon
Panama
Somalia
None
Do you have a service connected disability?
*
Yes
No
N/A
Do you have any physical or mental limitations related to or unrelated to your service?
What additional assistance do you require?
Please tell us why you would like to be chosen to participate in the program(s) you selected:
*
Do you have adequate transportation to and from the destination of your chosen program?
*
Yes
No
Photo and Consent Release:
*
Yes, I authorize SAVE22 to use images or video of me.
No, I do not authorize SAVE22 to use images or video of me.
Additional Notes
Contact me via
*
Email
Phone
Mail
Text
Submit
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