Please enable JavaScript in your browser to complete this form.CommsConnectUS -"Traveler's" Name *FirstLastCode Name *Every CommsConnectUS-"Traveler" Mission is code name protected. Should you require assistance, your Code Name will be means of identification. YOU choose your own Code Name.Phone Number *Phone number of the person traveling.Emergency Contact and phone number *Emergency contact and phone number of someone NOT traveling.Date / Time of Intended Departure? *DateTimeStarting Location *Destination *Intended Route *My trip will be: *One WayRound TripI'm not sure yet.Please choose all that apply *I have the CommsConnectUS-EMERGENCY ASSIST" Zello channelI am a Licensed Ham OperatorWhat is your CommsConnect-Zello Call Sign? *What is your licensed Ham Call Sign (if applicable)?CommsConnectUS, CommsConnectUS-"Partner Groups", and Assignees RELEASE FROM LIABILITY/HOLD HARMLESS: As a willing participant in the CommsConnectUS-"Traveler Program", I, (name below), (hereafter known as "CommsConnectUS-Traveler") understand and accept that this service is voluntarily accepted and administered. CommsConnectUS-Traveler understands that CommsConnectUS, its "Partner Groups", nor any assignees guarantees the safety of, nor accept responsibility for, CommsConnectUS-Traveler's safety during CommsConnectUS-Traveler service cycles. By submitting this "CommsConnectUS-Flight Plan" and signed Release, CommsConnectUS-Traveler releases all identified assignees from any liability and address to HOLD HARMLESS, all assignees, and hereby acknowledges and accepts the terms as outlined above. *I agree.CommsConnectUS-"Traveler's" Signature *FirstLastEntering your name serves as your electronic signature acknowledging agreement with the above RELEASE OF LIABILITY/HOLD HARMLESS.DateTimeWhat CommsConnectUS-"Partner Group" do you belong to? *WebsiteSubmit Share this:TwitterFacebookLike this:Like Loading...