Guest and Attendance Registration

For guests, family members, community members, and others attending the ceremony.

Please complete this form for each person attending the event.

Indicates required field

Attendee Information

First Name:

Last Name:

Email:

Phone Number

Phone Type:

Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option 'Voice' is a standard audible telephone.

Address

Address 2

City/Town

State

ZIP Code

Are you a veteran?

click here to register to receive a recognition at the ceremony.

Final Certification

I certify that the information provided in this nomination is accurate to the best of my knowledge.

I understand that submitting a nomination does not guarantee selection or recognition during the Veterans Recognition Ceremony.

I understand that the Office of Congresswoman Shontel Brown may contact me or the nominee to request additional information or documentation necessary to evaluate this nomination.

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