Paws & Patches Officer Registration Form
Registration for Department K9 Demo & Officer Info -- Entry is Free but a $20 donation would be nice!
Officer/Deputy Name
*
First Name
Last Name
K9 Name and Agency/Department Name
*
K9 Name
Agency/Department Name
K9 Breed
*
K9 Age:
*
Dept Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please upload a photo of you & K9:
*
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Short Bio of You/K9 for Announcements:
*
If You Would Like A Certain Song Played During Your Demo - Please List It Below:
E-mail
*
example@example.com
YES I would love to make a $20 OR MORE donation to the Family!
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