Operation Helping Hands for Hometown Heroes ***Form due back to Christina Rost (Christina.r.rost.ctr@mail.mil) NLT 10 Nov*** US Bank would like to sponsor Minnesota military families this holiday season. Please have the family complete this form in full. This is a “wish list” that will be provided to the sponsoring USB team. Where is your nearest Military Family Assistance Center (FAC)? Bemidji Brooklyn Park Camp Ripley Detroit Lakes Dultuth
Mankato
Marshall
Rosemount
What is the nearest large town/city to you? Please tell your USB team a little bit about your family
What branch of service does your family’s Service Member represent? Army Navy Marine Corps Air Force Coast Guard ACTIVE DUTY NATIONAL GUARD OTHER RESERVE COMPONENT Is your family’s Service Member an currently deployed?
Yes
No
What are your general family needs? SM’s First Name: Age:
Dep #1 First Name: Gender:
Male Female
WISH LIST:
WISH LIST:
Gender:
Male Female
WISH LIST:
Dep #3 First Name: Age:
Age:
Dep #2 First Name:
Male Female
Age: WISH LIST:
Gender:
Male Female
Gender:
Male Female
WISH LIST:
Dep #4 First Name: Gender:
Age:
Dep #5 First Name: Gender:
Male Female
Age: WISH LIST:
THIS SECTION FOR MILITARY FAMILY ASSISTANCE ONLY Family # Assigned by FAC and any details for USB: