A 501(c)(3) non-profit, non-partisan foundation


Print or save this form and complete with your word editor. You can download forms in pdf format.
Fax or e-mail completed forms to:

fax number: 985-649-8137
e-mail:     info@supportourwarheroes.org
mail to:    Support Our War Heroes
                677 E East I-10 Service Rd.
                Slidell, LA 70461

CRITERIA

This form must be submitted along with the "Hero"Nomination form in order to be considered for the honor.

Download Personal Information Release pdf.

                                                   PERSONAL INFORMATION RELEASE

From:_________________________________________________
To:  Support our War Heroes

I, ___________________________ consent to the release of my personal information for use by Support Our War Heroes. I understand that only the information that I desire will be released and that it will be used to describe the events that have lead up to my nomination as a "Hero". 

I further understand and consent that my personal information may be used by local media outlets in conjunction with Support Our War Heroes to propagate further persons being nominated to participate in the "Hero" program.

In consideration for the "Hero" program and nomination, I consent to the following information being released:






Furthermore, I expressly forbid the following information from being released:





_____________________                                                                            ___________________________
WITNESS                                                                                                      INDIVIDUAL OR GUARDIAN

_____________________
DATE