Military Wall of Honor - Perry High School
Thank you for taking the time to enter information about a person you believe served time in the United States armed forces.  Any information you can provide, even if limited, will be a major help in identifying those that will be honored.

Questions - Please contact Scott Niedzwiecki at niedzwieckis@perry-lake.org or 440-259-9300 ext. 9398

If you have official documentation (DD214), please submit to niedzwieckis@perry-lake.org


Sign in to Google to save your progress. Learn more
First Name
Last Name
Years attending Perry High School
If you do not know specifics, an estimate will be helpful.
Branch
Clear selection
Dates of service
If you do not know specifics, an estimate will be helpful.
Your contact information (Optional)
Email/Phone (Best way to contact you)
Deceased?
Clear selection
KIA?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Perry Local Schools. Report Abuse