New Member Application Form — Wyoming K9 Search & Rescue

Handler Name*
First Last
Address
Street Address City State ZIP Code
Email*
Home Phone Number
Work Phone Number
Cell Phone Number*
Date of Birth
Month
Day
Year
Sex
Height
Weight
Hair Color
Eye Color
In case of Emergency Notify
First Last
Address
Street Address City State ZIP Code
Phone
Employer
Address
Street Address City State ZIP Code
Phone
Medical Certifications and Expirations Dates: (e.g. EMT, CPR)
Dog's Name
Breed
Date of Birth
Month
Day
Year
Sex
Dog's Previous Training
Veterinarian Name:
Address
Street Address City State ZIP Code
Phone

NOTE: Handlers must keep dog’s immunizations and license current.

I agree to abide by the Wyoming K-9 Search & Rescue Bylaws, Policies and Standards. I know that Wyoming K-9 Search & Rescue (Wyoming K-9) wants competent teams, and that search service requires a sizable and serious commitment of time and effort. I will not represent myself as a Wyoming K-9 Search and Rescue handler unless I am qualified and on the official callout list. I accept full responsibility for myself and my dog. I understand that if I’m accepted as a member of Wyoming K-9, I will be assigned gear and equipment that is the property of Wyoming K-9. I agree that I will return the gear and equipment to Wyoming K-9 in good working order, upon resignation or termination from Wyoming K-9. I certify the information in this application and all other official correspondence I give Wyoming K-9 Search and Rescue is true and accurate.