Veteran's Wind Therapy Application

Veteran's Name

Branch of Service

Veteran's Address

Veteran's Phone Number

Veteran's Email Address

Are you willing to support events before and after your Therapy Jump? (i.e., share Facebook posts and attend future events to support future veterans)

Yes

No

For safety reasons alone, there is a skydiving weight limit. It hurts to add this because we want everyone to experience the wonderment of skydiving. We will not share this information with anyone else. However, it is required knowledge to determine eligibility for a safe skydiving experience. Below, please enter both your weight and height.

Weight

Height

Time

Location

Each Veteran that jumps will receive a t-shirt. Please select your size below.

Disabilities and health concerns (If none, please type 'None'.)

Please list any disabilities and/or health concerns we should be aware of. This information is crucial for your safety as special equipment may be needed for certain disabilities.

Bio

We always love hearing about our Veteran's. Please tell us something about yourself. (Only share what you are comfortable with.)