Veteran Sign-Up FormNeed Assistance? Contact us at info@heroesnewhope.org or call (812) 243 -4276 for support. Date MM DD YYYY Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Gender Male Female Height Weight Birth Date MM DD YYYY Shirt Size S M L XL XXL XXXL Email * Phone (###) ### #### Are You A Veteran? Yes No Event You're Interested In? Please tell us what you hope to take away from this experience? Is this your first event of this kind? Yes No Emergency Contact Name First Name Last Name Relationship to you? Emergency Contact Phone (###) ### #### Emergency Contact Email Primary Physician Name First Name Last Name Primary Physician Phone (###) ### #### History of Seizures? Yes No Thank You for Joining Heroes New Hope!We’re thrilled to welcome you to the Heroes New Hope family! Your application has been successfully submitted, and our team will review it shortly.Once approved, we’ll work with you to plan an event or activity tailored to your interests and needs, whether it’s experiencing the outdoors, connecting with a supportive network, or exploring opportunities for healing and purpose.In the meantime, feel free to explore our website or reach out to us at [email/contact info] if you have any questions.Thank you for taking this important step toward a brighter future. We’re honored to be part of your journey.
