2024 Honor Guard and Pipes and Drums Registration National Peace Officers' Memorial Service, May 15, 2024, at 12:00PM, US Capital (West Lawn)
This form can be used to register Honor Guard and Pipes and Drums Participants.

THIS FORM IS REQUIRED FOR EACH TEAM MEMBER. IF ONLY ONE PERSON REGISTERS TEAM MEMBERS, PLEASE MAKE SURE EACH TEAM MEMBERS CELL NUMBER IS ENTERED SO THEY MAKE THE TEXT LIST FOR INSTRUCTIONS AS WE GET CLOSER TO THE MEMORIAL SERVICE. 

Every Entry will be approved by Memorial Committee Member Chief Ken Roske
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Email *
Please select your role. *
Team Name or Team Affiliation Name (Full Name) *
Last Name *
First Name *
Middle Name *
Email Address (One you use) *
DOB *
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State of Driver's License Issuance  *
Driver License Number  *
Personal Cell Phone Number *
Agency you Work for (Full Name) *
Agency Phone Number  *
Agency Address (Street, City, State, Zip) *
Personal Address (Street, City, State, Zip) *
A copy of your responses will be emailed to the address you provided.
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