Veteran Outdoor’s Participant Submission Form

To submit yourself or someone you know as a potential participant for an upcoming show and to make your/their experience as close to their dream adventure as possible we will need a little information from you. All information provided will be held in the strictest of confidence. It will only be shared with those interests that are relevant to the activity. Also by accepting our offer, providing information and signing this form you are authorizing the use of this information as needed and use of info, likeness, and any stories related to activity deemed appropriate to further the intent of Veteran Outdoors, Giving Back To Those Who Gave. Please complete this form and return with your photos, and biography.

 

Submitted by:		Relationship to Potential Guest:
Guest Name:		DOB:
Height:		Weight:
Hair color:		Eye color:
In case of an emergency – please supply us with a family member’s info.
Address:		Alternate Contact:
City:		Guest Phone Number:
State:		Zip:
Alternate Contact Phone Number:		Home Phone:
Alternate e-mail:		Guest e-mail:
Please indicate your military status. If deployed with Reserves or National Guard, please select one of those options.
Branch of military:		Rank:
Active:		Reserve:
National Guard:		Discharged:
Date of discharge:		Briefly describe injuries:
Limitations, special conditions:		Please list Awards received:
Personal Info:		Spouse’s Name (if applicable):
Children’s names & ages (if applicable):		Dietary Restrictions:
Previous hunting experience:
Please describe your (the potential guest’s) dream adventure (example – Elk hunting in Colorado, Tarpon Fishing in Florida…)
Please list your (the potential guest’s) hobbies/passions: (example – Baseball, Football, Country Music…):
Shirt size:		Pant size:
Shoot:		Shoe size:

Enter Code:


 Veteran Outdoors is working hard to fulfill the dreams of everyone who submits an application. Unfortunately, due to lack of time and funding, we are not able to fulfill every dream.  We will however work with other resources to make as many of these dreams as possible a reality.

Please forward completed application with photos, BIO and this signed application to:

You may contact us at any time: Host Cody Hirt - cody@veteranoutdoors.com

Host US Army Veteran Wes Higgins - wes@veteranoutdoors.com

Visit our website at www.veteranoutdoors.com