Apply for Wild Ops Online

Who can apply: Any veteran or active duty servicemen who has served in a combat zone and who has been both honorably and dishonorably discharged is eligible to submit an application to Wild Ops.

Please fill out the application form below to apply. Be advised this can take over 15 minutes to complete, so allow yourself adequate time. This must be filled out on a computer and not on a mobile device.

Please be ready to attach scanned, readable and clear digital copies of the following documents:

Redacted copy of Member-4 DD214 or current LES
Copy of Current Driver’s License or Federally Issued ID
Current Photo (so we can recognize and greet you at the airport)

(A separate application is required for each Operation you are applying for)

Veteran Information

First Name (required)

Middle (required)

Last Name (required)

Preferred Name (required)

Birthdate (required)

Email (required)

Phone (required)

Street Address (required)

City (required)

State (required)

Zip (required)

Spousal Information (required)

Marital status (required)
SingleMarriedDivorced

Spouse Name (required)

Email (required)

Phone (required)

Emergency Contact (required)

Emergency Contact Name (required)

Relationship (required)

Phone (required)

Email (required)

Medical Information (required)

Primary Physician (required)

Phone (required)

Address (required)

City (required)

State (required)

Zip (required)

Medications (List all current prescribed medications) (required)

Medication #1 (required)

Purpose (required)

Medication #2 (required)

Purpose (required)

Medication #3 (required)

Purpose (required)

Medication #4 (required)

Purpose (required)

Medication #5 (required)

Purpose (required)

Physical Limitations (required)
Please list any physical limitations and special accommodations needed

Have you ever experienced an anaphylactic allergic reaction? (required)
NoYes

If yes, do you carry an EpiPen? (required)
NoYes

Military History (required)

Branch of Service (required)

Dates of Service (required)

Start:

End:

Deployments/Combat Experience (Units, Dates, Locations) (required)

Injury Information (required)

Date of Injury (required)

(if date unknown, please explain why) (required)

List injuries with Brief Description (required)

Are you currently employed? (required)
NoYes

Character References (required)

First Reference (required)

First Name (required)

Last Name (required)

Relationship to Applicant (required)

Email (required)

Phone (required)

Second Reference (required)

First Name (required)

Last Name (required)

Relationship to Applicant (required)

Email (required)

Phone (required)

How did you hear about us? (required)

APPLICATION ACKNOWLEDGMENTS: (required)

(Please Initial each acknowledgement) (required)

I certify that the above answers are true to the best of my knowledge

If selected for an event, I agree to a $150 “hold my spot” deposit.

I understand that my $150 deposit is nonrefundable if I fail to attend or cancel less than 30 days prior to execution of the Operation.

I will participate in the Operation by reading/listening to Wild at Heart, the book, prior to the trip and respectfully engaging in discussions and activities throughout.

Who filled out this application?*

Date Applied (required)

Printed Name (required)

Email (required)

DOCUMENTS REQUIRED FOR APPLICATION (required):

Redacted copy of Member-4 DD-214 or current LES
Copy of Current Driver's License or Federally Issued ID
Current Photo (so we can recognize and greet you at the airport)

Redacted copy of Member-4 DD-214 or current LES:
8MB maximum file size

Copy of Current Driver's License or Federally Issued ID:
8MB maximum file size

Current Photo (so we can recognize and greet you at the airport)
8MB maximum file size

If you have trouble uploading your documents, please email them to [email protected].

Apply Online for Wild Ops

Apply for Wild Ops Online

Veteran Information

Spousal Information (required)

Emergency Contact (required)

Medical Information (required)

Medications (List all current prescribed medications) (required)

Military History (required)

Injury Information (required)

Character References (required)

First Reference (required)

Second Reference (required)

APPLICATION ACKNOWLEDGMENTS: (required)

DOCUMENTS REQUIRED FOR APPLICATION (required):