LBHS Alumni Veterans/Active Duty Military and Family Member Veterans of current students
The Liberty-Benton High School Action Team "Support Our Soldiers" is looking to collect names of currently living veterans of the military or those who are actively serving in the military.

There are two groups of Veterans/Active Service Members they are looking to collect:
1) Alumni of Liberty-Benton High School who are veterans or currently serving in the military.
2) Any immediate family members of current LBHS students who are veterans or currently serving in the military. Immediate family includes: siblings, parents, grandparents, or great-grandparents

Please complete this form by Thursday November 4, 2021. We are planning a Veteran's Day breakfast and assembly on Wednesday, November 10 starting at 9:30 am. We would like to invite Military Veterans to the breakfast and assembly.
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Contact Information of the Veteran/Active Service Member
First Name of Veteran/Active Service Member *
Last Name of Veteran/Active Service Member *
Address of Veteran/Active Service Member *
Please list, house number, street name, city, state, and zip code.
Phone Number of Veteran/Active Service Member
Email Address of Veteran/Active Service *
Date of Birth of Veteran/Active Service Member
Is the person a Veteran or in Active Service in the military? *
Is the Veteran/Active Service Member a Liberty-Benton High School Graduate? *
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