Liberty Day Service Member Form
New attendees: Fill out the entire form and submit to Front Desk or to Amy Cobb, Director of Events at amy.cobb@stonebridgeschool.com by Friday, January 20, 2023. Submissions are not guaranteed to appear in the Military slideshow if photos and complete information are not received by the deadline. Photos may be used on the SBS website and YouTube channel. If submitting photos by mail, please include a self-addressed stamped envelope.

Past attendees: Please complete and return form sent home with your student(s) OR add additional family members below.  Information is due by January 20, 2023. If you have already submitted family information years prior and there are no changes, you do not need to fill out form below. 

Any questions? Call Amy Cobb at 757-488-2214 ext. 114.
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ACTIVE DUTY SERVICE MEMBERS:
Please plan to attend in dress uniform. Your child(ren) will escort you during the candle lighting ceremony. Limit of FOUR (4) service members honored per family.
Person completing this form *
Daytime phone number *
Student Names & Grades *
Email address *
Service member name #1: *
Service Member's relationship to student(s) *
Will attend Liberty Day Ceremony? *
Will submit photo for slide show? *
Living or Deceased? *
Required
Branch of service *
Official Rank *
If veteran of foreign war, please indicate name of war(s) *
Service member name #2:
Service Member's relationship to student(s)
Will attend Liberty Day Ceremony?
Clear selection
Will submit photo for slide show?
Clear selection
Living or Deceased?
Branch of service
Official Rank
If veteran of foreign war, please indicate name of war(s)
Service member name #3:
Service Member's relationship to student(s)
Will attend Liberty Day Ceremony?
Clear selection
Will submit photo for slide show?
Clear selection
Living or Deceased?
Branch of service
Official Rank
If veteran of foreign war, please indicate name of war(s)
Service member name #4:
Service Member's relationship to student(s)
Will attend Liberty Day Ceremony?
Clear selection
Will submit photo for slide show?
Clear selection
Living or Deceased?
Branch of service
Official Rank
If veteran of foreign war, please indicate name of war(s)
Submit
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