Hero Registration
To nominate a fallen military hero to be honored please fill out the information below -- We will connect an endurance athlete with your hero.

Your privacy will be protected, the athlete will not have access to your personal address or other information. Any medals you receive will be mailed from Medals of Honor. We do NOT sell your contact information to third parties.

**Important** If you need to reach us for any reason please use hero@medalsofhonor.org -- we do not monitor the gmail account which sends out the auto responses from this form. Thank you.

Your First & Last Name *
Your answer
Your Email Address *
Your answer
Your Relationship to the Hero *
Is the recipient someone other than yourself? *
Recipient's relationship to the hero *
Is the recipient a minor *
To whom should we send the package to? First & Last Name *
Your answer
Recipient's Mailing Address *
Your answer
Rank, first & last name of hero to be honored *
Your answer
Date of Passing (Example 01/16/2001) *
Your answer
Branch Served *
What would you like the person honoring your hero know about your hero's life and service? *
Your answer
Do you have a link to a memorial page or website you would like to share?
Your answer
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