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LIBERTY DAY 2025

Liberty Day Service Member Form

"*" indicates required fields

Please complete and submit this form by Friday, January 17, 2025. To submit any photos, please email them NO LATER THAN Friday, January 17, 2025 to amy.cobb@stonebridgeschool.com. If you have any questions, please contact Amy Cobb at 757-337-8050.
Name of Person Completing This Form*
This year, we are a:*
How many service members are you submitting information for?*
SERVICE MEMBER #1 INFORMATION
Service Member #1 Name*
Service member #1 is:*
Will submit photo for slide show:*
Note: Photo submission is NOT required in order to attend and participate in the Liberty Day service on February 17. Photo IS required in order for information to be included in the slide show during the program. Photos should be emailed by January 17 to amy.cobb@stonebridgeschool.com.
Will Service Member #1 attend the ceremony on Feb. 17?*

SERVICE MEMBER #2

Service Member #2 Name*
Service member #2 is:*
Will submit photo for slide show:*
Note: Photo submission is NOT required in order to attend and participate in the Liberty Day service on February 17. Photo IS required in order for information to be included in the slide show during the program. Photos should be emailed by January 17 to amy.cobb@stonebridgeschool.com. Limit of 2 photos per service member.
Will Service Member #2 attend the ceremony on Feb. 17?*

SERVICE MEMBER #3

Service Member #3 Name*
Service Member #3 Name*
Service member #3 is:*
Will submit photo for slide show:*
Note: Photo submission is NOT required in order to attend and participate in the Liberty Day service on February 17. Photo IS required in order for information to be included in the slide show during the program. Photos should be emailed by January 17 to amy.cobb@stonebridgeschool.com. Limit of 2 photos per service member.
Will Service Member #3 attend the ceremony on Feb. 17?*

SERVICE MEMBER #4

Service Member #4 Name*
Service member #4 is:*
Will submit photo for slide show:*
Note: Photo submission is NOT required in order to attend and participate in the Liberty Day service on February 17. Photo IS required in order for information to be included in the slide show during the program. Photos should be emailed by January 17 to amy.cobb@stonebridgeschool.com. Limit of 2 photos per service member.
Will Service Member #4 attend the ceremony on Feb. 17?*
This field is for validation purposes and should be left unchanged.

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