NEED COPY: US Armed Forces Form DD214 or NGB Form 22 [honorable discharge]

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Date of Birth

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Next of Kin (required)

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HERE FOR YOU:

Cheyenne and Arapaho Service Providers | Veterans Service Officers

Health Care Providers/Screenings | VA State and Federal Reps

Disability Service Providers | Employment & Training Providers

Institutes of Higher Learning | Housing Assistance

Counseling Services | Haircuts/Eye Care/Immunizations

Additional Comments

TERMS AND CONDITIONS:

All submitted applications are received by the OVA Program on the basis that the participant agrees to the terms and conditions which releases the program from responsibilities involving Accidents, Theft, and Loss of Life during the event.

RELEASE THE RIGHTS OF ALL PHOTOS TAKEN:

This release is for use, re-use, publishing, republishing the same in whole or in part, individually or in conjunction with other photographs, in any medium and for purpose whatsoever, including but not limited to, illustration, promotion, advertising and trade, and to use my name in conjunction therewith if he/she chooses.
I agree and understand the TERMS AND CONDITIONS and RELEASE THE RIGHTS OF ALL PHOTOS TAKEN by submitting this form