A&A All The Way Memorial Diamond Nomination Form

To make a difference in the lives of military families, NFL star Aaron Jones and his A&A All The Way Foundation have partnered with Eterneva to give a memorial diamond to a military family who has lost a loved one. In August, A&A All The Way will select the family who will be receiving this special gift.

This is for an unforgettable connection in your life. Someone who deserves fireworks, a million floating lanterns, and their name written in the stars. When these people leave us physically, we need a positive way to keep them close to us. Aaron, A&A All The Way and Eterneva want to help you celebrate your remarkable loved one with a diamond that is uniquely them.

By submitting this application form, you consent to any submitted photos, videos, names, ages and other information to be used in any marketing and promotional materials associated with this program. We thank you for sharing your story.

If you have any questions while filling out this form, please email katie@capture-se.com or call 262-696 5177.

NAME OF PERSON FILLING OUT THIS FORM

First NameLast Name

YOUR EMAIL

example@example.com

YOUR PHONE NUMBER

Format: (000) 000-0000.

YOUR HOMETOWN (CITY, STATE)

HOW LONG HAVE YOU LIVED THERE?

WHERE DO YOU WORK?

WHAT VOLUNTEER WORK DO YOU DO, IF ANY?

WHAT IS ONE OF YOUR FAVORITE MEMORIES IN YOUR HOMETOWN?

NAME OF MILITARY SERVICE MEMBER

First NameLast Name

IS THE SERVICE MEMBER

WHAT BRANCH IS/WAS THIS MEMBER SERVING IN?

WHAT IS YOUR RELATIONSHIP TO THE SERVICE MEMBER?

PLEASE BRIEFLY DESCRIBE YOUR FAMILY'S MILITARY JOURNEY

PLEASE LIST SOME OF YOUR FAVORITE ACTIVITIES TO DO AS A FAMILY

NAME OF THE LOVED ONE WHO HAS PASSED

First NameLast Name

MILITARY RANK OF THE LOVED ONE WHO HAS PASSED (IF APPLICABLE)

PLEASE BRIEFLY DESCRIBE THE CAUSE AND YEAR OF DEATH AND RELATIONSHIP WITH THIS PERSON / WHAT DO YOU MISS MOST ABOUT THEM?

PLEASE UPLOAD 1-4 PHOTOS OF YOUR FAMILY AND LOVED ONE

A&A All The Way Memorial Diamond Application

THANK YOU FOR SHARING YOUR STORY. YOU ARE IN OUR THOUGHTS AND PRAYERS.