Join us for a therapeutic outdoor adventure Personal Details First Name* Last Name* User Name* Password* Confirm Password* Nick name Profile Image Size Restrictions: Please make sure the image size is equal to or larger than 150 by 150 pixels. Biographical Information Contact Details Email* Secondary Email Mobile Number* Street Address* City* State* Zip Code* Service Service or Branch (check all that apply)* Army Navy USMC Air Force Space Force Coast Guard Firefighter Police Officer Other Law Enforcement Other First Responder Outdoor Adventures of Interest Check adventures that apply* Big game hunting Small game hunting Turkey hunting Upland bird hunting Waterfowl hunting Fly fishing Deep Sea fishing Other fishing Camping Boating Whitewater rafting Skiing/Snowboarding Trail Riding/Off Roading Skydiving Golfing Skeet Shooting 3 Gun Scuba Diving/Snorkeling Other Do you have the skills, time, and equipement to lead an outdoor adventure? Yes No Types of adventures you could lead? Big game hunting Small game hunting Turkey hunting Upland bird hunting Waterfowl hunting Fly fishing Deep Sea fishing Other fishing Camping Boating Whitewater rafting Skiing/Snowboarding Trail Riding/Off Roading Skydiving Golfing Skeet Shooting 3 Gun Scuba Diving/Snorkeling Other Business/Social Media Information URL Facebook Twitter Instagram LinkedIn Profile Administration Are you interested in also being a volunteer that could help with assisting with events like banquets and golf tournaments? Yes Terms and Conditions* Terms and Conditions All applicants are required to provide proof of service. By submitting this application you agree to provide documentation to verify your service. Please redact any sensitive information. Upload or email your proof of service to dave@americanheroesinaction.org. Once verified your documentation will be deleted. Proof of service Add Remove
