BECOME A COMMUNITY PARTNER

COMMUNITY PARTNER REGISTRATION

Please fill out the form below to apply to become a community partner at the

2026 Wayne D. Horner Memorial Stand Down Madison. October 17, 2026

Organization Name

Contact Person

Address

Phone Number

Type Of Service Offered (Choose 1) * Required

Employment/Training

Education

Financial/Benefits

Health/Wellness, and Recovery

Housing/Utilities

Legal

Medical/Mental Health

Personal Needs (Haircuts, Hygiene, Clothing)

Spiritual Growth/Spirituality

Transportation

Veteran Service Organizations

Other

Enter Other Service Offering Here

Email

Please enter a brief description of what your agency will provide to the veterans.

T-Shirt Size (SM-4XL)

What will you need the day of the event?

How many people from your agency will be attending?

Please provide your web address.

I have read and agree to the waiver.

Thanks for submitting!

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