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 Name
Middle Name
Last Name
Birth Date
*
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Year
Gender
*
Please Select
Male
Female
N/A
Service Member's Name
*
First Name
Last Name
Service Branch or Agency
*
EMS
Fire-Rescue
Law Enforcement
Army
Navy
Air Force
Marines
Coast Guard
DOD
Other
Address
*
Street Address
Street Address Line 2
City
State / 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 dues
Volunteering my time
I understand the following obligations:
*
To provide care and love to the K9
To attend and complete at least one year of K9 training
To 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 Hunting
Upland Bird Hunting
Deer Hunting
Small Game Hunting
All the Above
Additional Comments
Submit
Should be Empty: