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Dream Riders Family Registration
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New User? Please Register
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Hero Information Section
Is there a child that meets our eligibility requirements?
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Yes
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In order to register, there must be a child that meets our eligibility requirements.
Hero's Last Name
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Hero's First Name
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Military Branch
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--Select--
Marines
Army
Navy
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Military Rank
Date of Death (dd/mm/yyyy)
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Point of Contact Information (POC)
Last Name
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First Name
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Gender
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Male
Female
Date of Birth (mm/dd/yyyy)
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Are you the Point of Contact (POC) for the Family?
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Yes
No (explain in comments)
Address
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Address 2
City
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State
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Select State
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Midway Atoll
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Zip
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Phone Number (xxx.xxx.xxxx)
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Does the Listed Phone Accept Texts?
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Yes
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Email
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Comments
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