American Police Canine Association

 2008 National Conference

REGISTRATION LIMITED TO 100 TEAMS

Hosted by the

 Allen County, Indiana Police Department & American Police Canine Association

September 22-26, 2008

Fort Wayne, Indiana

REGISTRATION FORM

NAME: _____________________________________________

DEPARTMENT: _______________________________________

DEPARTMENT ADDRESS: _______________________________

DEPARTMENT PHONE NUMBER: (______)__________________

DEPARTMENT FAX NUMBER: ____________________________

E-MAIL ADDRESS (OPTIONAL): __________________________

K9's NAME: ______________   BREED: ____________________

NARCOTIC ODORS YOUR K-9 IS TRAINED TO DETECT:

Marijuana __   Cocaine __   Meth __   Heroin __ Ecstasy__   Crack__

GUESTS ATTENDING WITH YOU ___ ($15.00 per person)

SHIRT SIZE:  3X __   2X __   XL __   L __   M __   S __

REGISTRATION FEES:  $200.00

Attending: K-9 Scent Class___, Advanced Firearms___, Night Felony Stops___,                                                                         Criminal Highway Drug Interdiction___.

Special dietary needs: ___________________________________

Please Make Checks Payable to:    American Police Canine Association

 REGISTRATION FORM & FEES MUST BE RECEIVED NO LATER THAN

August 25, 2008

                                               TO:      American Police Canine Association

                                                            2008 National Conference

                                                            1602 Ashley Ave

                                                            Fort Wayne, Indiana 46825-3212