A copy of military I.D., V.A. card or other proof of veteran status may be requested when you are contacted. It can be submitted by mail, email or shown to contact. Copy will be shredded upon verification.
Your Name (required)
Branch of Service (required)
Years of Service (required)
Your Rank (required)
Sex (required) MaleFemale
Your Address (required)
Your City (required)
Your State (required)
Your Zip Code (required)
Your Phone Number (required)
Your Electronic Signature (required)
Activity of Interest (Up to 3)(required) Swim With DolphinsBack Country FishingKayak Eco TourSnorkeling The ReefsPleasure Boating (Sightseeing Trip)Glass Bottom Boat TourTheatre of the Sea day of tour/activityDeep Sea Fishing (must be a party of 4 vets)Jet SkiPaddle BoardingParasailingOther
Applicant status verified and referred by:
Applicant Sponsored By:
Your Email (required)
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