Veteran, National Guard/Reserves, Active Military, & Family Online Registration (Armed Forces Day)

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* 1. Contact Information

First Name

Last Name

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* 2. Current Status

Veteran

Active Duty

National Guard

Reservist

Retired

Spouse/ Family

Other (please specify)

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* 3. What service providers are you interested in visiting with?

Financial Assistance

Health Care

Counseling and Support

Recreational Opportunities

Transportation

Housing

Education

Job Training/Career Development

Financial Planning

Other (please specify)

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* 4. Would you like to be contacted by a local Veterans' Services Officer or one of our service providers prior to the event?

No Thanks

Yes (Which one?)

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* 5. Would you like to be put into our lottery to play basketball vs local celebrities?

No Thanks

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* 6. Would you like to be in our raffle for signed memorabilia or other prizes (must be present to win)?

No Thanks

Yes

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* 7. Are you interested in getting more information including job openings from the employers who will be at the event?

No Thanks

Yes (please confirm email address)

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* 8. Do you know any deployed active military personnel that you would like to send a care package to?

Yes (please provide overseas mailing address and expected/scheduled date of return)

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* 9. How did you hear about the fair?

City of Newton

Newspaper

Radio

Social Media

Other (please specify)