Your Name :

Date of Birth :

Company / School :

Address :

City :

State :

Zip :

Applying for

member associate member
Are you certified law enforcement officer?	yes	no
Do you have arrest powers?	yes	no
Are you a handler for a private agency or company?	yes	no
Are you and the K9 utilized by your employer in official capacity?	yes	no
Are you retired military or law enforcement handler?	yes	no
Police Agency or private company employed by:
Company / School :		Phone Number
Address :		City :
State :		Zip :
Are you interested in certification in: narcotics detection   tracking patrol Bloodhound tracking Explosives detection Search & Rescue Cadaver Note: Application fee is $35. Certification fee is $25 per certification for new members.

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