* 
    Your First AND Last name
                  (required)

*
      Current email address
   Show entire email address,
    including .com, .net, etc. 
                 (required)

*
  Your connection to Hartford?
            ex: grad, resident,
 former resident, summer visitor, etc.
                 (required)

               
If HHS student-grad, what class?

   
Last name during school at Hartford

   Register       Remove
      (Left-click your mouse on
   the appropriate box to select.)
               (required)

                     

In order to post your information on the website quickly, please answer the following:
              
Type in Upper-Lower  OR  all lower case letters when filling in blanks below. Do NOT type in all CAPS. 
Use your TAB key to navigate from one box to the next...do NOT use the return or enter key, as that will send the form before you are finished.

About YOU:
1.  Name of person submitting information 
2.  Soldier's relationship to you   (father, brother, etc.)
3.  Your email adr 
                             (include FULL email, ex: joedoe@anywhere.com)

About the MILITARY person: 
1. Name of Soldier

2. If soldier is still in service, does he/she have an email address?  
(be sure to include entire email, ex:  JoeSoldier@somewhere.com)

3. Soldier's date of birth (exact date nice, but not necessary)

4. Soldier's place of birth (city and state, if known)

5. Name of parents (include maiden name of mother)

6. Name of spouse, if married (include spouse maiden name if applicable)

7. If no longer living, give date of death (exact date nice, but not necessary)

8. Age at time of death (approx. age is okay)

9. Place of death

10..Cemetery name and location where buried  

11. Cemetery lot number, if known

12. Branch of Service     

13. War(s) served in (check all that apply) 
          Revolutionary War 1773-1783
          Civil War 1861-1865
          Spanish-Amer War 1898-1902
          WW1  1914-1919
          WW11  1939-1945
          Korean War  1950-1953
          Vietnam War   1964 - 1974
          Persian Gulf-Desert Storm   1990-1991
          Afghanistan - Iraq  2001-
          None - during peace time
          Other

14.  Actual dates of duty, ex:  1945-1948   OR  1-5-1967 to 5-7-1970

15. Select all that apply: 
     Prisoner of War    Missing In Action    Wounded in Action    Killed in Action
               Died in Active Duty    Contracted disease-illness-disability during service

16. Duty station, name of ship(s), name of aircraft(s), and/or locations served
Don't be shy about your accomplishments

17. Medals or awards

18. Military classification, ex: Pilot, Medic
19. Name of Company, Division, Regiment, etc:
20. Ending rank

21. Hometown   21.a State
22. Hometown school attended
23. Class of     24. Did you graduate with the class? Yes/No 
25. Did you leave school to enter the service? Yes/No
(if you did NOT graduate with the class, but went into the service, give answer to question #21. Serving our country is important and you will be noted as a VIP of the class.)
26. Did you receive a high school diploma? Yes/No
27. Resided in (select one)Hartford or Keeler when? (exact dates not necessary)
28. Do you have a photo in uniform? Yes/No  
(Need a photo in uniform with or without spouse. If none is available, any photo about that time would work fine...if none, then a current photo is okay.  If you have a scanner, save the file in .jpg file format. Don't worry about editing - that can be done after it is emailed.  If you do NOT have a scanner, and live in the local area, please contact the webmaster and I can scan it for you. Photos are scanned with NO damage to originals. The original photo is laid flat on the glass of a flatbed scanner - much like the same process of a copy machine.  If photos are not in good shape, the scanned copy can usually be edited and restored with NO changes ever made to the original.  Send photos via email to the webmaster.
29. Interesting stories or achievements 
 
Don't be shy about your accomplishments

30. Need old photos and historic documents about community and people of Hartford and Keeler.  These can be sent via email or snailmail. 
           I do have old photos, documents, etc. for the website.  Yes/No

31. Additional notes about the soldier or website 


 32. Would you be interested in any of the following if and when they become available?
 Please check all that would interest you.

        Calendar on History of Hartford          Calendar on Military Personnel from Hartford

          CD of History of Hartford website        Books on History of Hartford

          
Remember to send photos (see instructions above) in a separate email to the webmaster or via US Mail.

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