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Month of the Military Child

April 2019 Minnesota Month of the Military Child Registration

Please fill in all the mandatory items below.  We have allowed for the entry of up to five children on this form. 
If you have more children, please return to the form and add the additional names.

The Veteran's / Military Servicemember's information will not appear on the letter. Letters will be mailed in late May.

Please check all information for spelling errors and accuracy before submitting.

Data Privacy Notice: Filling out this form is completely voluntary. The information gathered will be used to send out a communication
from the Governor to a child with a parent veteran or military servicemember. The data will be deleted upon completion of this project.

Information gathered from this form is securely protected using a Comodo trusted SSL certificate.   Comodo Logo

Veteran / Military Servicemember's Information:
First Name:  
Middle Initial:  
Last Name:  
Branch of Service:
Status:
KIA Was service member Killed in Action (KIA)?
Unit:  
Email Address:

Veteran / Military Servicemember's Minnesota residence (home of record):
Street:  
2nd Street:  
City:  
State:
Zipcode:  

Child 1:
First Name:  
Middle Initial:  
Last Name:  
Address same as Veteran / Servicemember?
Street:  
2nd Street:  
City:  
State:
Zipcode:  

Child 2:
First Name:  
Middle Initial:  
Last Name:  
Address same as Veteran / Servicemember?
Street:  
2nd Street:  
City:  
State:
Zipcode:  

Child 3:
First Name:  
Middle Initial:  
Last Name:  
Address same as Veteran / Servicemember?
Street:  
2nd Street:  
City:  
State:
Zipcode:  

Child 4:
First Name:  
Middle Initial:  
Last Name:  
Address same as Veteran / Servicemember?
Street:  
2nd Street:  
City:  
State:
Zipcode:  

Child 5:
First Name:  
Middle Initial:  
Last Name:  
Address same as Veteran / Servicemember?
Street:  
2nd Street:  
City:  
State:
Zipcode:  

   

Enter the letters above in the box below.




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