2023 Blanket Nomination Form – Blankets Of Honor

What category does the Recipient fall under? *

We apologize, but if someone is being nominated and their veteran they are "connected" to being a "caregiver" or the veteran has passed away prior to filling this form out, they are not eligible.

Gold Star Member's Name *

First

Middle

Last

(if set of parents, only one blanket per set, but both to be honored in ceremony)

POW/MIA Member's Name *

First

Middle

Last

(if set of parents, only one blanket per set, but both to be honored in ceremony)

Gold Star Member's Address *

Address Line 1

Address Line 2

City

State

Zip Code

POW/MIA Member's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Gold Star Member's Phone Number *

POW/MIA Member's Phone Number *

Gold Star Member's Email

POW/MIA Member's Email

Gold Star's Fallen Member's Information? *

First

Middle

Last

(can be Military or Fire/Police)

POW/MIA Fallen Member's Information? *

First

Middle

Last

Recipients Health Current Status? *

(If in bad health we will attempt to contact and schedule ASAP)

Recipients Name *

First

Middle

Last

Recipients Address *

Address Line 1

Address Line 2

City

State

Zip Code

Recipients Phone Number *

Recipients Email

If applicable

Any Recipients Nicknames?

Recipients Age?

(if known)

Recipients Birthdate?

(if known)

Last Rank Received? *

Where were they stationed? *

What Campaign / War (if involved in any)

(WW2 Veterans will be attempted to be contacted / setup ASAP)

Tell us about their service / MOS *

We apologize, but if the veteran has passed away prior to filling this form out, they are not eligible.

Supporter / Caregiver Information? *

First

Middle

Last

Supporter / Caregiver Address *

Address Line 1

Address Line 2

City

State

Zip Code

Supporter / Caregiver Phone *

Supporter / Caregiver Email *

If they are a supporter/caregiver/family member. tell us why they deserve a blanket? *

We apologize, but if someone is being nominated and their veteran they are "connected" to being a "caregiver", they are not eligible.

Nominator Contact Information *

First

Middle

Last

Nominator Address *

Address Line 1

Address Line 2

City

State

Zip Code

Nominator Phone *

Nominator Email *

Nominator Preferred Method of Contact? *

Email
Phone Call
Text

Nominator Relationship to Recipient? *

Preferred address of Presentation? *

(Default is Recipients Address)

How did you hear about us? *

Any other information you feel we should know?

If this nomination has an urgency due to health or maybe a possible event coming up, please be sure to follow-up with an email to kacuna@blanketsofhonor.org, because we do try to have a first come first serve nominations, and we have a backlog we are constantly attempting to go through, but if the nominee is ill, or their time with us is limited, and also age, those factors get pushed to the top of the line. We will try to accommodate for an event, but we need a month's notice, because we do plan out months ahead of time for most of our presentations, also if it is out of state, there would be a logistics we will have to figure out as well. *

I understand the statement above, and i will email accordingly.

Urgency Acknowledgment

Donations Accepted not Expected

Venmo - https://account.venmo.com/u/BlanketsofHonor
Paypal - https://www.paypal.com/paypalme/BlanketsofHonor
Check - 112B Harrisburg Ave, Elizabethtown, PA 17022
Aplos - https://www.aplos.com/aws/give/BlanketsofHonor/Donation
Cash

Have you check out any of the following?

Teespring Store - https://blankets-of-honor.creator-spring.com/?
YouTube Channel - https://www.youtube.com/channel/UCk6cZpfniGY29owwWfLEzrw
Facebook Page - https://www.facebook.com/BlanketsofHonor
Apparel Link - https://stores.inksoft.com/blanketsofhonor/shop/home

Have you checked these out?

DON'T FORGET TO HIT THE SUBMIT BUTTON ONCE YOU HAVE EVERYTHING FILLED IN!

I hereby grant Blankets of Honor, Inc. the irrevocable right and permission to use photographs and/or video recordings of me on blanketsofhonor.org and other websites and in publications, promotional flyers, educational materials, derivative works, or for any other similar purpose without compensation to me. I understand and agree that such photographs and/or video recordings of me may be placed on the Internet. I also understand and agree that I may be identified by name and/or title in printed, Internet, or broadcast information that might accompany the photographs and/or video recordings of me. I waive the right to approve the final product. I agree that all such portraits, pictures, photographs, video, and audio recordings, and any reproductions thereof, and all plates, negatives, recording tape, and digital files are and shall remain the property of Blankets of Honor. I hereby release, acquit and forever discharge Blanket of Honor, its current and former trustees, agents, officers, and employees of the above-named entities from any and all claims, demands, rights, promises, damages, and liabilities arising out of or in connection with the use or distribution of said photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness or defamation *

I Accept
I Do Not Accept