EmailMe Form - Port Aransas Application

Name (Do not start this application if it is not for a specific listed Port Aransas Fishing Trip on our Facebook or Website. We DO NOT accept random applications.) *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Current County *

Date of Birth *

Phone *

### - ### - ####

Confirm

### - ### - ####

Email *

Re-Type Email (must match)

Confirm

Name of Spouse, Boyfriend, or Girlfriend who will be accompanying you (Also put their relationship to you, if they are Spouse, BF or GF) No Children or Buddies allowed on this trip. Must only be your Spouse, Boyfriend, or Girlfriend.

Have you fished with HwS before? *

Yes

No

Have you hunted or fished with any other Organization? *

Yes

No

If the answer is yes, what Organizations? When & Where (If you went out more than once with an Organization, include all adventures you went on)

By Checking the YES Box, you agree that your statements of who you have been out with, and how many times are accurate and true. That you have NOT left any Organizations out? And also that all other information on this application is correct and truthful? You understand that you are responsible for being truthful and honest. You also understand that any information found to be untrue, or not added (intentionally left out to gain a benefit) can result in criminal charges. We believe in getting all Veterans out, we just want all to be absolutely honest. We do not look to prosecute Veterans. We only want to make sure we help those in need who are honest. *

Yes

No

Military Branch *

Status *

Active Duty

Disabled

Reserve

Veteran

If Disabled, what accommodations (if any) you would require to make an outing comfortable and successful. (Please note, these boats may not be wheelchair accessible. We have no control over that)

Dates of Military Service *

If no longer in the Military, Discharge Status. If not Honorable, Explain at bottom where it says tell about yourself. If no explanation for anything other than Honorable, your application will be deleted. *

Current or Last Rank *

Were you in "Active Combat" in any Military Campaign? *

Yes

No

In this section, DO NOT abbreviate. If yes, were you in "active combat" or in a combat zone away from the actual combat? Give detail about your deployments. If not in active Combat, did you directly deal with the wounded or deceased as a result of combat? Explain if yes.

When? Where? Etc. *

Tell us a little about yourself. *

NAME AS IT APPEARS ON FACEBOOK IF DIFFERENT THAN NAME ABOVE (This is so we can tag you). If no Facebook then put No Facebook.

First Last

In this section "DO NOT" abbreviate. Awards & Metals received during Military Service. *

Name and Telephone Number of Emergency Contact *

Food Allergies. If either has food allergies, make sure you put which one. If neither have food allergies, put None. *

I understand that if I do not give proper notice of cancellation, I will be banned from any future events with HwS. *

Yes

I understand that if I do give proper notice of cancellation, and if this is the "second time" I have cancelled for a trip I was chosen for with HwS, I will be placed on a one year ban list. If this is the first time you have ever cancelled, this does not apply, just click yes. *

Yes