U.S. Allies Participant Sign-Up

U.S. Allies Ceremony

Sign-Up Form
Date: Thursday, November 7

Time: 7:30 - 10:00 PM

Location: PLI | 6565 Rookin St., Houston, TX 77074

At PLI we recognize the important role that Special Immigrant Visa (SIV) holders and others had in partnering with the US Military at great risk to themselves and their families. The goal of this event is to bring honor to the men that have served, that they will feel loved and appreciated as we celebrate them. The ceremony will also include a special halal meal, a message from a US veteran, and awards for honorees.
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where are you from?*
What is your first language?*
Are you an SIV holder, U.S. Ally, or Veteran?*
We want to honor SIV holders, U.S. Allies, and Veterans during the ceremony.
What years did you serve?
What was your rank or job title?
What branch, company, or organization did you serve with?
Do you have any other family members connected to PLI?
Do you need transportation to the event?
Do you consent to the use of photos taken of you for PLI media?
We would like to invite you to join the Men's Community on Thursday Nights

Thank you. I've already joined.Thank you, I would like to join.Thank you, I would like more information.Thank you, I cannot join at this time.

Media Release for Clients
I authorize Prestige Learning Institute (PLI) to photograph and/or video me and my children at PLI events. I understand the videos and/or photographs taken may be used in the following ways:

PLI's Website
PLI's Facebook Page
PLI's Instagram Profile
PLI's LinkedIn Page
PLI's Vimeo Account
PLI's YouTube Account
I also understand that the photographs and/or videos PLI takes of me may be used in other promotional and informational materials sent to donors, board members, volunteers, and partner organizations.

I have not been compensated nor will I seek compensation for the videos and/or photographs. I release PLI from any liability or legal responsibility incurred through using these videos and/or photographs.

By signing below, I agree to these terms.
I authorize Prestige Learning Institute (PLI) to photograph and/or video me and my children at PLI events. I understand the videos and/or photographs taken may be used in the following ways: PLI's Website PLI's Facebook Page PLI's Instagram Profile PLI's LinkedIn Page PLI's Vimeo Account PLI's YouTube Account I also understand that the photographs and/or videos PLI takes of me may be used in other promotional and informational materials sent to donors, board members, volunteers, and partner organizations. I have not been compensated nor will I seek compensation for the videos and/or photographs. I release PLI from any liability or legal responsibility incurred through using these videos and/or photographs. By signing below, I agree to these terms.

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U.S. Allies Ceremony