Patriot Flight Inc recognizes WWII veterans for your sacrifices and achievements by flying you to Washington, DC to see YOUR memorial at no cost. In order for Patriot Flight to achieve this goal, guardians fly with the veterans on every flight providing assistance and helping veterans have a safe, memorable and rewarding experience. Guardians can only be 2nd generation.  For what you and your comrades have given to us, please consider this a small token of appreciation from all of us at Patriot Flight, Inc.  

WWII Veterans will have served at some time between December 7, 1941 and December 31, 1946.

We would prefer if you would fill out this form online (it saves us time and money).  But if you would like to download a PDF to fill out and mail in, click here.  Click here if you need Adobe PDF reader.

When adding Veteran's information, please make sure their First Name, Last Name, and Middle Initial AS IT APPEARS ON DRIVERS LICENSE or PASSPORT


Veteran's First Name *
Veteran's Middle Name
Veteran's Last Name *
Veteran's Nick Name
Veteran's Street Address *
Veteran's Apartment
Veteran's City *
Veteran's State *
Veteran's Zip Code *
Veteran's Phone Number (Day) *
Veteran's Phone Number (Evening)
Veteran's Cell Phone
Veteran's Email Address
Veteran's Date of Birth (MM/DD/YYYY) *
Veteran's Weight in Lbs. *
Veteran's Age *
Veteran's Shirt Size *
Veterans Rank *
Veterans Branch of Service *
Veterans Home Town at Time of Service (from which city/town did you enter the service?): *
Veteran Served Dates (from and to in MM/DD/YYYY format) *
Activity During WWII – Be specific, no abbreviations *
Duties *
Citations/Awards
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Phone (day) *
Emergency Contact Phone (evening)
Emergency Contact Street Address *
Emergency Contact Apt.
Emergency Contact City *
Emergency Contact State *
Emergency Contact Zip
Alternate Contact Name
Alternate Contact Street Address
Alternate Contact Apartment
Alternate Contact City
Alternate Contact State
Alternate Contact Zip
Alternate Contact Phone Number (day)
Alternate Contact Phone Number (evening)
Alternate Contact Cell Phone
Alternate Contact Email Address
Do you use mobility equipment? *
 Yes
 No
If YES, please select a device
 Cane
 Walker
 Wheelchair
 Scooter
Please list any drug allergies (none, please put "none") *
Do you have a history of seizures? *
 No
 Yes
If yes, then what type (i.e. grand mal, petit mal, other)
When was your last seizure (if applicable)
Medications, please list the medication (including dosage amount) and how often they are taken. If Vet is not taking any meds, please put "none" in box *
Please type the letters and numbers shown in the image.
 Captcha Code
 

MEDICAL INFORMATION PROVIDED WILL NOT DISQUALIFY YOU. IT PERMITS US TO ASSESS THE SUPPORT WE NEED DURING THE TRIP. INFO IS FOR PATRIOT FLIGHT AND MEDICAL PERSONNEL ONLY.  

If you have a serious health issue, we may require a Doctors written permission for participation in this event.

 

If Vet has had a seizure within the past 5 years, STRONGLY advised you discuss trip with your private physician