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Hero Of The Game

Hero Of The Game

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Want to nominate yourself or someone else as the Black Hills Surgical Hospital "Hero of the Game"? Fill out the form below, and provide a brief military history of yourself or your nominee below!

(If nominating yourself, simply answer the second half with "Self")

Name of Nominee *

Phone Number

Email *

Hometown of Nominee

Rank of Nominee

Nominee's Branch of Service

Years of Service for Nominee

Active Duty or Retired?

Active Duty

Retired

Job Titles of Nominee

Deployment Locations of Nominee

Awards/Medals for Nominee

Anything Else About Nominee?

Preferred Game (Fill in as "Date vs Opponent") *

Name of Nominator *

Email of Nominator *

Phone Number of Nominator *

Relation to Nominee *

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