2021 Mini PNWK9 Membership Enrollment and Conference Registration Form - NarcoticsPlease enable JavaScript in your browser to complete this form.Name *FirstLastEmail Address *Are you a U.S. Citizen? *YesNoIf you are a NON-U.S. Citizen, please email diane@pnwk9.org to finalize your registration on or before April 19, 2020.Title / Rank *Handler / Trainer / SupervisorDepartmentAgency Address Line 1 *Agency Address Line 2City *Dropdown *WashingtonAlaskaArizonaArkansasBritish ColumbiaCaliforniaColoradoConneticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampsireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code *Phone *Handler Cell #Years As HandlerK9 - Years of ServiceK9 NameK9 AgeSingle / Dual PurposeSingleDualReward TypeType Of AlertPassive (Sit, Point, Stare, Other), ActiveOdors Trained to DetectHeroinCocaineMethamphetamineMarijuanaT-Shirt Size *SMLGXLXXLOther (please specify below)Additional CommentsNameSubmit Registration
