Forging Resilience Registration

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Contact Form

First Name, MI, Last Name *

Email Address *

Phone Number

Check All That Apply

Wounded Law Enforcement

Law Enforcement Critical Incident

Law Enforcement 10+ Years

Purple Heart Recipient

Combat Veteran

Marine Corps

Army

Navy

Air Force

Coast Guard

Brief Bio (tell your story, please include the story related to your injuries or critical incident) *

T-Shirt Size *

Small

Medium

Large

X-Large

3XL

Forging Resilience will only be sending 3 groups of 2 recipients this year. You may be on a waiting list for a long period of time. You may be required to provided proof of employment, injury, DD214 or other documents upon request. Understand this program is a very hot environment and is physically demanding. You will be spending 2 full days in a forge. *

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