Freedom Days Parade First Responder of the Year Nomination Form

Your Name:

Your Email:

Your Phone:

Nominee Name:

Is this person available on July 4, 2025 and able to ride in a vehicle for 2 or more hours?

YES

Why should this person be chosen? (Include any community organizations, awards, or special recommendations that should be considered)

For which agency do they work?

Aztec Fire Department

Aztec Police

Bloomfield Fire Department

Bloomfield Police

Farmington Fire Departmenet

Farmington Police

San Juan County Fire & Rescue

San Juan County Sheriff's Office

San Juan Regional Medical Center Emergency Medical Service

San Juan County Communication Authority

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Name:

Email:

Message:

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