Officers Name
*
Department
*
City
*
State
*
Department Phone Number
*
Email
*
example@example.com
K-9 Name
*
K-9 Breed
*
K-9 Age
*
Is the K-9 Patrol "Patrol/Scent" or "Scent Only"? (please specify - if scent only, only a "HOT" system is required)
*
K-9 Patrol Currently Employed
*
Please Select
Yes
No
Have you applied or inquired about a Ace K9 Hot-N-Pop System for this K-9 with any other organization(s) in the last 12 months?
*
Please Select
Yes
No
Are you or anyone from your department working with a private sponsor or beneficiary of funds from a fundraiser who will be providing funds for this Ace K9 Hot-N-Pop System?
*
Please Select
Yes
No
Do you have approval from department for photo use + promotional purposes?
*
Please Select
Yes
No
Can the Capital K9 Association share your story and photos on our website and social media pages?
*
Please Select
Yes
No
How did you hear about us?
*
Please Select
Past Recipient
Facebook
Instagram
Website
Submit
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