Celebrating Our Heroes
1. Full Name of Service Member or Veteran
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2. Hidden Valley Lake Member, Former Member, or Loved One of a Member?
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Current Member
Former Member
Loved One of a Member
3. Relationship to Hidden Valley Lake Member
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Service Information
4. Military Status
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Active Duty
Veteran
Deceased Veteran
5. Branch of Service
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Army
Navy
Air Force
Marines
Coast Guard
Space Force
6. Years of Service (or Approximate Dates of Service)
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7. Rank at Time of Discharge or Current Rank (if known)
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Honors & Recognition
8. Did this individual receive any military awards, medals, or commendations?
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Yes
No
Not Sure
9. If yes, please list awards or recognitions received (optional)
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Story & Tribute
10. Would you like to share a brief message, memory, or tribute honoring their service? (short paragraph)
Photo Submission
11. Upload a photo (service photo or personal photo we have permission to share)
*
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Permission & Contact
12. Do you give permission for this information to be shared on the Hidden Valley Lake America's 250th Birthday webpage?
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Yes
No
13. Your Name
*
14. Email Address (in case we need clarification)
*
example@example.com
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