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Name

Email Address

Phone Number

Medal(s)

Conflict(s)

Year (Class Of)

Branch

Veteran?

Years of Active Duty

Reserve Years

Message

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I hereby release the Piedmont Wall of Honor, the Piedmont Educational Foundation, and the Piedmont Unified School District from any claims that may arise regarding the use of these photo(s)/image(s), including any claims of defamation, invasion of privacy, or infringement of moral rights, rights of publicity, or copyright.

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