Nominate a Veteran You Know

Please use the form below to nominate a veteran you know for a recharge!

YOUR Phone Number (In case we have questions about your nomination)

YOUR Email (in case we have questions about your nomination)

Veteran's Full Name

Branch of Service

Years Served

Veteran's Date of Birth (if known)

Month

Day

Year

Veteran's Email

Veteran's Phone

Veteran's Address

In a few sentences, please tell us about who you are nominating, including any hobbies or interests they may have.

Describe any relevant outdoor or adventure experience. they have:

Select Preferred Activities

Discover Scuba (Introductory session with certified instructor)

Shark Fishing (Catch & release, guided)

Kayaking Adventure (fresh or saltwater routes)

Hunting Experience (includes safety training if required)

Not Sure

Medical conditions or mobility concerns:

Do they have their own gear?

Yes

No

Not Sure

If yes, please list:

Availability

Weekdays

Weekends

Flexible

Not Sure

Specific dates available (if known)

Is there anything else you'd like us to know about the person you are nominating?