Annual Virtual Memorial Mile Honoree Submission Form

Making Noise for Those Who Serve

Thank you for submitting your loved one to be honored in our 2021 Virtual Memorial Mile. We will honor 5 Service Members We want their stories told and to hear why their families and friends are #MotivatedByTheirLives

We will choose 1 service member from each branch in the order of submission. If we are unable to honor your loved one for the 2021 #TUPMile we would love to honor them throughout the year as well as in a future Virtual Memorial Mile.

Participants will walk, run, bike, hike, swim or whatever activity brings them joy for 1 mile or 100 miles.

We encourage all family and friends to post their own stories about our honorees on our FaceBook page: TUPMile

Date of TUPMile : 31 May 2021

First Name*
Last Name*
Street Address*
City, State ZIP Code*
Email*
Phone*
Rank of Fallen Service Member*
First Name of Fallen Service Member*
Middle Name of Fallen Service Member
Last Name of Fallen Service Member*
Branch of Fallen Service Member*
Date of Birth of Fallen Service Member*
MM slash DD slash YYYY
Date of Death of Fallen Service Member*
MM slash DD slash YYYY
Bio for Fallen Service Member*
Please provide a short bio for your Service Member. We will reach out for edits and additional information.
Please include a picture of your Fallen Service Member*
Drop files here or

Max. file size: 512 MB.
We will use this picture to create the graphics for the event. Please feel free to include more than one photo.
Additional Comments
Consent*
I agree to the privacy policy.
I authorize The Unquiet Professional to create graphics and social media posts to honor my loved one with the information I provide. I understand the Annual Virtual Memorial Mile is a fundraiser that funds The Unquiet Professional's programs and services provided to Gold Star & Surviving Families, Veterans and their families. I understand the funds from this fundraiser will not be given directly to my family.