EmailMeForm
Wright County, MN - Mini PD1 Certification
When: 9/20/23
Time: 9:00 a.m.
Location: 505 Co Rd 37 NE
Monticello, MN 55362
Contact info for trial: Dan Cotten
daniel.cotten@co.wright.mn.us
(763)-639-8649
Registration: $ 150
MUST BE UP TO DATE ON 2023 MEMBERSHIP PRIOR TO PARTICIPATING IN THE CERTIFICATION.
Handler Information
Name
*
First
Last
Email
*
Are you a registered USPCA Member?
*
Yes
No
What is your primary region (12, 18, 21, ect.?)
*
K9 Information
K9 Name
*
Department Information
Department / Agency
*
Phone
*
###
-
###
-
####
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
I hereby waive and relinquish the United States Police Canine Association, Inc. (USPCA), Region 12, Wright Co SO, event organizers, event judges, stewards, other participating K9 teams, and any other associations of this event from any physical or mental injury to either myself or my canine. I also agree to abide by the rules established by the USPCA while attending this event. I accept responsibility for any damage caused either by myself or my canine to the hotel or any related event sites and/or location. I furthermore accept any responsibility for any injury or damage caused by either my canine or myself to any other person or property while attending this event.
I agree to the above statement
*
Yes
No
Number
Total
$150.00
