EmailMeForm
2021 Detector Trial - New Hope MN
When: 1/17/2021
Odor Recognition - 1/16/2021
Location:
Room Searches:
North Education Center
5530 Zealand Ave North
New Hope, MN 55428
Vehicle Search
Wenck Response Services
9000 Science Center Drive
New Hope, MN 55428
Contact Info:
Miguel Robles - Cell - 952-250-3764
Host Hotel:
Minneapolis Marriott Northwest
7025 Northland Drive North
Brooklyn Park, MN
Ph. # 763-536-8300
MUST BE UP TO DATE ON 2021 MEMBERSHIP PRIOR TO PARTICIPATING IN THE CERTIFICATION.
Handler Information
Handler Name
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First
Last
Please provide a primary phone number where we can reach you incase we need to discuss registration payment
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Primary Email Address where we can reach you incase we need to discuss registration payment
*
Are you a registered member of the USPCA?
*
Please select
Yes
No
Third option
What is your primary region?
*
Please select
12
18
21
K9 Information
Name of K9
*
Type of Detection (if applicable)
Narcotics
Explosives
Fish and Game
Department Information
Department / Agency Name
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Department Phone #
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WAIVER
I hereby waive and relinquish the United States Police Canine Association, Inc. (USPCA), Region 12, The New Hope Police Department, event organizers, and 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
