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HIT CLUB
MEMBERSHIP
APPLICATION

Please select what best describes you
Veteran
Spouse/Family
Other
Birthday
Month
Day
Year
Please Select all programs you are interested in
Have you been diagnosed by a medical professional with any of the following?

(Select all that apply)

To help the HITS Club maintain a peaceful and supportive environment, we kindly ask that you provide proof of service by uploading either a DD-214 or a First Responder Badge Number.

All information is kept confidential and used solely for program eligibility.

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