AFADD

Member Application



* = Required
Personal Information
First Name*:
Middle Initial:
Last Name*:
Service*:
Rank*:
Username*:
Password*:
Confirm Password*:
Date of Birth*:
Address:
City:
State:
Zip:
Gender:
 
Contact Information
Home Phone:
Work Phone: 000 Area Code = DSN
E-mail Address (Work)*:  
Squadron:
Supervisor's Name:
Supervisor's Phone:
Supervisor's E-mail:
 
Vehicle Information
Vehicle Year:
Vehicle Make:
Vehicle Model
License Plate#:
# of seats:
Duty Type:

By submitting below, I acknowledge that I am solely responsible for having adequate vehicle insurance to cover any costs related to accidents that occur as a result of my driving as a volunteer for AFADD. I understand that AFADD, the United States Air Force, and the Department of Defense are not liable for any damages caused as a result of my volunteer efforts.




"Helping save lives one ride at a time"