OPERTION MILITARY APPRECIATION DAY (OMAD)
NOVEMBER 11, 2007

REGISTRATION FORM
Please complete & return only one form per family by Oct 29th.
Form can be completed online at www.omadbloomington.com, or mailed to Jenny Tracy at
1312 S Palmer Ave. Bloomington, IN 47401, or E-mailed to jennifer.lynne.tracy@us.army.mil

Your Name:
Your Telephone number:
Your E-Mail:
Soldier's Name & Rank:
Duty:
Branch:
Dates Served:
Currently Deployed?:	Yes No
Theatre(s) served in (choose one):
Other (please list):
Has this soldier previously received Blue Star recognition?	Yes No (If more soldiers, please list below)
Names of People Attending Ceremony Age Relationship to Soldier	OEF & OIF soldiers & their families will receive Blue Star recognition as long as their soldier has not previously received this recognition. All others will be recognized in our Red, White & Blue ceremony.
Total # of households that will be represented by all the attendees: (This information is necessary to determine proper distribution of award)	Please notify us upon arrival at the gate if anyone attending is in a wheelchair (sorry, wheelchairs not provided)** or will need any type of special assistance. Additional Soldiers in Family
Soldier's Name & Rank:
Duty:
Branch:
Dates Served:
Currently Deployed?:	Yes No
Theatre(s) served in (choose one):
Other (please list):
Has this soldier previously received Blue Star recognition?	Yes No
Soldier's Name & Rank:
Duty:
Branch:
Dates Served:
Currently Deployed?:	Yes No
Theatre(s) served in (choose one):
Other (please list):
Has this soldier previously received Blue Star recognition?	Yes No
Soldier's Name & Rank:
Duty:
Branch:
Dates Served:
Currently Deployed?:	Yes No
Theatre(s) served in (choose one):
Other (please list):
Has this soldier previously received Blue Star recognition?	Yes No
Soldier's Name & Rank:
Duty:
Branch:
Dates Served:
Currently Deployed?:	Yes No
Theatre(s) served in (choose one):
Other (please list):
Has this soldier previously received Blue Star recognition?	Yes No