Retreat Attendee Information Form – American Gratitude

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Retreat Attendee Information Form

2023 AGI Retreat Vet Info

This form is used to gather details on attendees of the next retreat. Please complete it and submit by October 1, 2023.

Attendant(s) Information

Please provide complete information for each field. As you complete the form additional fields may appear based on your input. Press SUBMIT at the bottom once the form is complete.

Veteran Name(Required)

NAME: Primary Attendee – Veteran

Sex(Required)

SEX

Male

Female

Age

AGE

Please enter a number from 21 to 102.

Veteran Email(Required)

EMAIL: Primary attendant

Enter Primary Attendee Email Confirm Email

Shirt Size – Veteran(Required)

SHIRT SIZE: Primary Attendee

Phone(Required)

Primary Attendee Cell Phone Number

Will you be hunting(Required)

Do you plan on hunting?

Yes

No

Have you ever Hunted Pheasants?(Required)

Have you ever hunted pheasants?

Yes

No

Will you bring your own shotgun?(Required)

Will you be bringing your own shotgun to hunt with during the retreat. If you do not have your own shotgun AGI will provide a shotgun to use during the retreat. AGI will provide ammo for the hunting/shooting activities.

Yes

No

Describe any special needs

Please list any special needs you feel we must know about you or anyone attending with you so we can accommodate you during our Retreat to ensure your safety and comfort.

Married/Engaged/Caregiver(Required)

Will a spouse, fiancée, or caregiver be attending the Retreat with you?

Yes

No

Number of Off-springs Attending(Required)

Please enter the number of children/wards that will be attending the retreat with you.

Please enter a number from 0 to 6.

Service Animal

Will you be bringing a certified service animal?

Yes

No

Type of Service Animal(Required)

Please describe type and function of your service animal.

Is this your 1st time attending our Retreat?(Required)

Are you a returning attendee/Mentor?

1st Time Attendee

Mentor

Mentor Area(Required)

Please indicate the area you are willing to assist with?

Hunting

Spouse/Fiancées

Children

Spouse/Name(Required)

Please enter the first and last name of the spouse/fiancée/caregiver who will be attending with you.

First Last

Spouse/Email(Required)

Spouse Email Adress

Spouse/Cell Phone(Required)

Spouse Cell Phone Number

Spouse Shirt Size(Required)

Enter the shirt size for this Attendee.

Will this Attendee be hunting?(Required)

Will Spouse be Hunting?

Yes

No

Is your Spouse a Veteran?(Required)

Is your spouse also a Veteran or Active Duty?

Yes

No

Child 1 Name(Required)

Child 1 First Name Child 1 Last Name

Child 1 Age(Required)

Child 1 Age

Please enter a number from 0 to 18.

Child 1 Shirt Size(Required)

Child 1 Shirt Size

Will this Attendee be hunting?

Will Child 1 be hunting? Minimum age to hunt is 14,

Yes

No

Child 2 Name(Required)

Child 2 First Name Child 2 Last Name

Child 2 Age(Required)

Child 2 Age

Please enter a number from 0 to 18.

Child 2 Shirt Size(Required)

Child 2 Shirt Size

Will this Attendee be hunting?

Will Child 2 be hunting. Minimum age to hunt is 14.

Yes

No

Child 3 Name(Required)

Child 3 First Name Child 3 Last Name

Child 3 Age(Required)

Child 3 Age

Please enter a number from 0 to 18.

Child 3 Shirt Size(Required)

Child 3 Shirt Size

Will this Attendee be hunting?

Will Child 3 be hunting? Minimum age to hunt is 14.

Yes

No

Child 4 Name(Required)

Child 4 First Name Child 4 Last Name

Child 4 Age(Required)

Child 4 Age

Please enter a number from 0 to 18.

Child 4 Shirt Size(Required)

Child 4 Shirt Size

Will this Attendee be hunting?

Will Child 4 be hunting? Minimum age to hunt is 14.

Yes

No

Child 5 Name(Required)

Child 5 First Name Child 5 Last Name

Child 5 Age(Required)

Child 5 Age

Please enter a number from 0 to 18.

Child 5 Shirt Size(Required)

Child 5 Shirt Size

Will this Attendee be hunting?

Will Child 5 be hunting? Minimum age to hunt is 14.

Yes

No

Child 6 Name(Required)

Child 6 First Name Child 6 Last Name

Child 6 Age(Required)

Child 6 Age

Please enter a number from 0 to 18.

Child 6 Shirt Size(Required)

Child 6 Shirt Size

Will this Attendee be hunting?

Will Child 6 be hunting. Minimum age to hunt is 14.

Yes

No

Email

This field is for validation purposes and should be left unchanged.

"I wanted to thank the entire staff, family, and friends of American Gratitude. From the moment my family and I arrived, we were welcomed and felt like family even though we didn't know a single person there. Brian and his staff were amazing, I can't say that enough. I am a retired Marine and suffer from some PTSD issues, but they made it so easy to relax and let my guard down. The whole community came together and welcomed us and made me feel like I had grown up with everyone. There were surprises around every corner, and each day that I was there I was more and more humbled and amazed that Brian and his staff took the time and energy to do the things they did for us."

Testimonial from Travis Woody, U.S. Marine Corps, (Ret.)

I can honestly say that working with American Gratitude has been one of the most rewarding experiences of my life. The opportunity to attend healing events with wounded veterans and their families has been transforming in many ways. Often veterans come to events with a bit of trepidation. That trepidation quickly turns to enjoyment and relief as they are surrounded by a welcoming, supportive, and selfless American Gratitude team. I highly encourage all veterans who can attend to do so. Thanks to Brian and Byron for their amazing efforts. Semper Fi.

Testimonial from John Garcia, U.S. Marine Corps, (Ret.)

I can only improve on my son John’s testimony with two words “remarkable and appropriate”, for a most deserving group of young men and their families.

Testimonial from Jack Garcia, Colonel, U.S. Marine Corps, (Ret.)

You have no idea what your kindness meant to me and my family. My ATTITUDE will be more positive because of American Gratitude. The kindness you showed to complete strangers you have never met is beyond the kind of man I am. I appreciate and respect you more than you will ever know, or I could show. But in the Lord's 2019, I will get better. I used to have that "care" and I still do - for others. You made me feel like you care and that meant the world to me. I will forever call you "brothers".

Testimonial from Jared Payne, U.S. Marine Corps, (Ret.)

In 2014, I got invited to Heartland Heroes event, now restructured under American Gratitude Inc. I went kicking and screaming to this event. I didn't want to attend, did not want to talk to anyone, essentially I wanted to be left alone to my own demise and continue down the path of depression and darkness. My family attended with me as well. The first day or so, I was standoffish, hallow, asking myself why am I here? After the 2nd day, the mentors were able to get me to let my guard down a little bit. By the end of the trip, I was able to open up, realizing there are good people in this world who still care. I struggle with TBI and PTSD daily. Things that will never go away. This trip allowed me to recognize my flaws, to ask myself, what is your purpose in life? It allowed me to socialize a little more each day in confidence of letting people into my circle. Right after the trip, I attended school, received my degree, and am now a Teacher, Football and Wrestling coach. Looking back at the hallow person I was, I realize, what help me the most was being forced to attend, to see individuals who truly cared and had a passion to help wounded veterans struggling. I have never met an entire community that truly wants to make a difference in the situations given to us, during and after enlistments and combat deployments. I now come back and help to offer the gift that was given to me, to make a Positive Impact on other families, to be around what is now gone it seems, comradery of veterans, no matter the branch. This comradery can never be replaced. This organization truly is amazing, and I am very thankful to the individuals who have help impact not only my life, but my families as well! Thank you, Thank you, Thank you!

Testimonial from Andrew McCune, U.S. Marine Corps, (Ret.)

© 2017 American Gratitude

© 2017 American Gratitude