K9 Equipment Request Form
Handler's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Department Name
*
Is your department / supervisor aware that you are applying for this assistance and able to accept this as a donation to the department under your department policies and procedures?
*
Yes
No
K9's Name
*
K9's Breed
*
K9's Weight
*
K9's Date of Birth
*
-
Month
-
Day
Year
Date
K9's Duties
*
Photo of K9
*
Choose Files
Drag and drop files here
Choose a file
Cancel
of
What type of equipment are you requesting and why?
*
Be as specific as possible. Brand, size, color, etc.
Have you applied for this assistance through another organization?
*
Yes
No
If "Yes," which one(s)?
By submitting this form, you acknowledge that Vegas Casino K9 Foundation may use this information and photos to contact media outlets for press releases, create fundraisers to replace expended funds, and create social media platform posts to raise awareness.
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