Uncommon Valor

USMC B-Day Bash

Friday, November 6, 2026 • 1700 – 2300

Guest Registration

Not registered yet? Add your details and you're checked in for tonight.

Personal Information

First Name*

Middle Initial

Last Name*

Gender

Date of Birth

Civilian?

Service Information

Branch of Service

MOS

Contact Information

Email

Phone Number

Address

City

State

Zip

Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Relationship

Only your name is required — everything else helps us reach you if we need to.

Hooters of Davenport • 110 E Kimberly Rd, Davenport, IA