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Friday, April 03, 2020
2020 NAPWDA Wisconsin State Workshop May 18 through 21, 2020 Registration Form
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1)
Name
*
2)
Agency
*
3)
Full Address: Street, City, State, Zip
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4)
Phone number including area code
*
5)
Email Address
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6)
K-9 Name
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7)
K9 Breed and K9 Age
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8)
How long worked with this K-9 (years/months)
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9)
Is this your first K-9
Yes
No
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10)
Describe your K-9
Single Purpose
Dual Purpose
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11)
Is this K9 team employed by a law enforcement agency?
Yes
No
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12)
Which phases of certification are you attempting at this workshop?
Narcotics Detection
Explosive Detection
Tracking/Trailing
Utility
Other (please list details in the comments below)
Additional Comments:
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13)
Are you a Current NAPWDA member
Yes
No
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14)
Are you certifying at the seminar?
Yes
No
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15)
Waiver:
By electronically clicking Agree below, I hereby waive and relinquish the North American Police Work Dog Association, further referred to as NAPWDA, the University of Wisconsin-Madison Police Department, Madison, WI. and Jefferson County Sheriff’s Department, Jefferson, WI, their affiliates, sponsors, organizers, and or all participants, for any injury, mental or physical, to myself or my canine.
Agree
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16)
Waiver:
By electronically clicking Agree below, I also agree to abide by all rules and regulations as set forth by NAPWDA and the event organizers. I furthermore will accept responsibility for any damage caused by my canine or me to any and all property to include the hotel accommodations and or any training venue.
Agree
*
17)
Waiver:
By electronically clicking Agree below,I furthermore state that my canine and I are in a physical condition necessary to be able to participate in the events, as needed for training and certification purposes.
Agree
* Indicates response is required
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