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Event / Trip Application
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Personal Details
Please select which trip you are applying for
Select One
Cal Dawn Fishing Trip, Berkeley - Wednesday, May 31
Cal Dawn Fishing Trip, Berkeley - Tuesday, June 27
Name
*
First
Last
Layout
Email
*
Birthdate
*
Phone
*
Branch Of Service
*
Select One
Marine Corps
Marine Corps Reserve
Army
Army Reserves
Army National Gaurd
Navy
Navy Reserves
Air Force
Air Force Reserves
Air National Gaurd
Coast Gaurd
Coast Gaurd Reserves
Disability Rating
*
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Layout
Is Your Disability Rating Service Related?
*
Yes
No
Theater Of Deployment
*
Have You Previously Attended One Of Our Trips?
*
Yes
No
Physical Limitations / Needs
*
This will not affect your consideration
Please Tell In 100 Words Why You Would Like To Attend
*
Do You Have Any Experience In This Activity? Please Explain
*
Inexperience is not a disqualifying factor
How Did You Hear About Us?
*
V.A. Rating Letter Upload
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Photo ID
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