Veterans Registration Form | One Community Now

Personal Information

Name*

First Last

Phone*

Birth Date*

Gender*

Male
Female

Age*

Email

County currently living in?

Current Address or Shelter Location where you are staying

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Are you bringing a service animal?

Yes
No

What kind of service animal?

If you are planning to bring any family members to the Stand Down please provide their name and date of birth.

Branch of Service*

Years Served YYYY-YYYY*

Where are you currently living?*

Are you in a Wheelchair or have limited mobility?*

Yes
No

Will you need special accommodations while attending the Stand Down?*

Yes
No

If Yes, please explain.

Transportation

Our transportation is full. Pasco County Public Transportation will be providing free transportation through route 16 each morning and evening (one trip in am and one trip in pm). You are welcome to come out for the day between 10 AM - 7 PM. Our overnight accommodations are full.

Veterans Court - Pasco County Offenses Only

Please fill out the information below if you want a case heard: PASCO VETERANS COURT ONLY

FL License Number

Pasco County Court Case Number (if applicable)

Court Cost Due?

Yes
No

What are the charges? (if known)

Veteran Registration Form

Personal Information

Transportation

Veterans Court - Pasco County Offenses Only

Please fill out the information below if you want a case heard: PASCO VETERANS COURT ONLY