IRON DOG COMPETITION REGISTRATION FORM Please fill out the entry form below. If you have any questions, feel free to email Officer Powell at slpowell@suffolkva.us HUMAN PARTICIPANT INFORMATIONName(Required)AgencyVPWDA NumberAge(Required)Email(Required) Your Address Street Address Address Line 2 City ZIP Code Cell Phone(Required)CANINE INFORMATIONCanine Name(Required)Canine Age(Required)Breed(Required)Discipline(Required)ApprehensionNarcotics DetectionExplosives DetectionCadaver (MUST BRING AN AID)Search & RescueBloodhound TrailingCompeting Category(Required)PatrolNarcoticsBloodhound TrailingCadaverSearch & RescueAccelerantExplosivesTeam MembersIf you desire to be included in a team please enter the 2 additional participants below.T-Shirt Size(Required)SmallMediumLargeX-LargeXX-LargeRequested Start Time(Required)We will do our best to accommodate.Early MorningMiddle MorningLate MorningWAIVERI understand that this event involves running, strenuous activity to include obstacles. I also understand that by competing in this event I run the risk of potential injury to myself and or my canine. I understand that neither the City of Suffolk, nor the Virginia Police Work Dog Association are responsible for any injuries to either myself or my canine that may occur as a result of my competing in this event. SignaturePRINTED NAME(Required)Iron Dog Registration Price: Total Credit Card(Required) What is 5x8?(Required)Please answer the anti-SPAM question
