Central and Southwest Virginia Honor Flight (CSWVAHF) would not be successful without the efforts and support of our Guardians. They play a critical role to ensure every veteran has a safe and memorable experience.

Duties include but are not limited to physically assisting the veterans from the time of departure until their return. Guardians are required to make a minimum donation of $400 to cover the cost of their own expenses, but contributions in larger amounts are greatly appreciated. Guardians will also need to attend a mandatory training session that will be scheduled approximately two weeks before the trip. Training sessions are conducted in Bedford, Virginia. Communication is exclusively by email so Guardians must provide an email address that they monitor frequently.

CSWVAHF cannot know how many guardians will be needed for any specific trip until all the applications from veterans are in and we can begin matching veterans to the most qualified guardians. You may check our website or email us any time to determine the date of the next scheduled trip. Guardians selected to go on specific trips will be notified as soon as possible, but will usually be contacted approximately four weeks prior to the scheduled date.

For further information, please contact us via e-mail at cswvirginiahonorflight@gmail.com or by phone at 540-589-0014.

Name *
Name
As It Appears on Your ID
Address *
Address
Mailing Address
Primary Phone *
Primary Phone
Cell Phone *
Cell Phone
Date of Birth *
Date of Birth
Are you a veteran? *
Emergency Contact Information
For your emergency contact, choose someone who will be available by phone during the trip (Friday to Sunday. Preferably this would be a family member or friend that we could contact before the trip as well.
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Address *
Emergency Contact Address
Emergency Contact Primary Phone *
Emergency Contact Primary Phone
Emergency Contact Cell Phone Number *
Emergency Contact Cell Phone Number
Personal Reference
This needs to be someone not related to you who can speak to your character.
Personal Reference Name *
Personal Reference Name
Personal Reference Address *
Personal Reference Address
Personal Reference Primary Phone Number *
Personal Reference Primary Phone Number
Personal Reference Cell Phone Number *
Personal Reference Cell Phone Number
Requested Veteran
Requested Veteran's Name
Requested Veteran's Name
Requested Veteran's Phone Number
Requested Veteran's Phone Number
Medical Information
Information provided will not disqualify you. It permits us to assess the support we need to provide during the trip. Information is for Central and Southwest Virginia Honor Flight and volunteer medical personnel only.
Please list the names of the prescription medications you take below.
Please Review Carefully and Sign
Photo/Video Release *
As photographic and video equipment are frequently used to memorialize and document Central and Southwest Virginia Honor Flight trips and events, my image and name may appear in a public forum, such as the media or a website, to acknowledge and promote, or advance the work of the Central and Southwest Virginia Honor Flight program. I hereby release the photographer, videographer, and Central and Southwest Virginia Honor Flight from all claims and liability relating to said photographs and video footage. I hereby give permission for my name and my images captured during Central and Southwest Virginia Honor Flight activities through video, photo, or other media, to be used solely for the purposes of Central and Southwest Virginia Honor Flight promotional material and publications and waive any rights of compensation or ownership thereto. Media coverage is the best way for us to promote the program to other veterans. This coverage may include the names of participants. I hereby release the use of my name for this purpose unless I provide written restriction before the trip.
Medical Release *
I further state that medical insurance is my responsibility and I understand that Central and Southwest Virginia Honor Flight does not provide medical care. I understand that I accept all risks associated with travel and other Central and Southwest Virginia Honor Flight activities and will not hold Central and Southwest Virginia Honor Flight responsible for any injuries incurred by me while participating in the Central and Southwest Virginia Honor Flight program.
Agreement to Not Consume Alcohol on Trip *
I understand that alcohol consumption is not allowed on any Honor Flight organization trips. By signing this agreement, I agree to refrain from alcoholic beverages while voluntarily participating in a Central and Southwest Virginia Honor Flight trip.
Covenant Not to Sue and Indemnity Agreement *
I am about to voluntarily participate as a passenger in various activities, including being transported by bus to Washington, DC by Central and Southwest Virginia Honor Flight, Inc. In consideration of this organization permitting me to participate in these activities, I, for myself, my heirs, administrators, executors and assigns, hereby covenant and agree that I will never institute, prosecute, or in any way aid in the institution or prosecution of any demand, claim or suit against the organization known as Central and Southwest Virginia Honor Flight, Inc. for any destruction, loss, damage or injury (including death) to my person or property which may occur from any cause whatsoever as a result of my participation in the activities of the Central and Southwest Virginia Honor Flight, Inc. organization. If I, my heirs, administrators, executors or assigns should demand, claim, sue or aid in any way in such a demand, claim or suit, I agree, for myself, my heirs, administrators, executors, and assigns to indemnify the Central and Southwest Virginia Honor Flight, Inc. organization for all damages, expenses and costs it may incur as a result thereof. I know, understand, and agree that I am freely assuming the risk of my personal injury, death or property damage, loss or destruction that may result while participating in Central and Southwest Virginia Honor Flight, Inc. activities, including such injuries, death, damage, loss or destruction as may be caused by the negligence of the Central and Southwest Virginia Honor Flight, Inc. organization. I also understand and agree that I may be held liable for any damages or loss to the Central and Southwest Virginia Honor Flight, Inc. organization which is caused by my gross negligence, willful misconduct, dishonesty or fraud and for limited damages or loss to the Central and Southwest Virginia Honor Flight, Inc. organization which is caused by my simple negligence. I further understand that the term Central and Southwest Virginia Honor Flight, Inc. organization includes the national non-profit organization known as Honor Flight, Inc., any officer, agent and/or employee thereof.