APPLY FOR RETREAT

SUBMIT YOUR APPLICATION FOR OUR WARRIOR RETREAT OR K9 WARRIOR PROGRAM.

PROJECT COMBAT LEAVE (PCL) IS A 501(C)(3) NONPROFIT DEDICATED TO HELPING VETERANS HEAL THROUGH CAMARADERIE, ADVENTURE-BASED REHABILITATION, PEER SUPPORT, AND PURPOSE-DRIVEN PROGRAMMING. ALL INFORMATION IS CONFIDENTIAL AND USED SOLELY FOR PROGRAM EVALUATION AND PARTICIPANT SAFETY.

PROJECT COMBAT LEAVE – VETERAN APPLICATION

1) Applicant Information

  • Full Name
  • Date of Birth
  • Phone Number
  • Email
  • City/State/Country
  • Preferred Method of Contact (Call/Text/Email)

2) Military Service

  • Branch of Service
  • Rank at Separation
  • Service Dates (From–To)
  • MOS / Specialty
  • Combat Deployment(s) (Location/Year)
  • Discharge Status (Honorable/General/Other)
  • VA Rating (if applicable)

3) Eligibility & Needs

  • Are you a combat-wounded veteran? (Yes/No)
  • Primary reason for applying (short answer)
  • Physical limitations or injuries we should plan for (short answer)
  • Comfort level in ocean/water activities (Low/Medium/High)
  • Comfort level in rugged terrain / hiking (Low/Medium/High)

4)Emergency Contact

  • Name
  • Relationship
  • Phone
  • Email

5)Medical & Safety (Planning Only)

  • Allergies (food/medication/environment)
  • Medications (optional)
  • Dietary restrictions
  • Any conditions the team should be aware of for safety (short answer)

6) Logistics

  • Passport status / ability to travel internationally (Yes/No)
  • Preferred retreat timeframe (month range)
  • Travel constraints (short answer)

7) Agreements

  • ☐ I certify the information provided is accurate.
  • ☐ I understand participation includes physical activity in outdoor environments.
  • ☐ I agree to follow program safety rules and staff instructions.
  • ☐ Media Release (optional): I consent to photos/video for nonprofit promotion.

K9 WARRIOR PROGRAM – FOLLOW-ON APPLICATION)

Applicant Information

  • Full Name
  • Phone Number
  • Email
  • City/State/Country

Background & Fit

  • Have you completed a PCL retreat? (Yes/No)
  • If yes, which month/year?
  • Prior experience with dogs (None/Basic/Intermediate/Advanced)
  • Why do you want to enter the K-9 Warrior Program? (short answer)
  • Are you able to commit to scheduled training and follow-up requirements? (Yes/No)

Home Environment (for realistic planning)

  • Do you have stable housing? (Yes/No)
  • Any pets currently in the home? (Yes/No)
  • If yes, list species/breed.
  • Any restrictions (landlord/HOA/local rules) that limit dog handling/training? (short answer)

Part 6 – K9 Application Continued: Physical Readiness & Safety

  • Any limitations that affect handling, walking, or training a dog? (short answer)
  • Emergency contact (Name/Phone)

Agreements (Checkbox Acknowledgements)

  • ☐ I understand this is a structured program with standards and accountability.
  • ☐ I agree to follow trainer instructions and safety protocols.
  • ☐ I understand program placement is selective and based on fit and readiness.

Apply for Retreat