Service Member Form

"*" indicates required fields

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This field is for validation purposes and should be left unchanged.

Please complete and submit this form by Friday, February 7, 2025. If you have any questions, please contact Amy Cobb at 757-337-8050.

Service Member Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SBS Graduation Year*

Will you be able to attend Liberty Day 2025?*

Yes

Service Member Official Rank*

Example: Captain, Corporal, Lt. Col, etc.

Service Member Branch of Service*

Please specify any details about rank, title, etc. here (if necessary)

If veteran of foreign war, please indicate name of war(s):

Alumni Liberty Day Information