K9s for Combat Kids Application

K9s for Combat Kids Application

Fill out the form to be considered.
Youth must be at least 10 years old to participate and parent must be willing to attend youth hunting camps.
Child's Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Service Member's Name*

First NameLast Name
Service Branch or Agency*

EMSFire-RescueLaw EnforcementArmyNavyAir ForceMarinesCoast GuardDODOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have other pets (please list)
E-mail*
example@example.com
Mobile Number*
I understand that a membership with 10 CAN is required and I'd like to obtain it by:*

Donating annual duesVolunteering my time
I understand the following obligations:*

To provide care and love to the K9To attend and complete at least one year of K9 trainingTo attend at least one youth hunting camp annually
I understand that this K9 program is designed to provide emotional support for military and first responder children by developing a hunting buddy. We are most interested in in a puppy that we can train for:*

Duck HuntingUpland Bird HuntingDeer HuntingSmall Game HuntingAll the Above
Additional Comments
Should be Empty: