International Police Work Dog Association 2014 6TH Annual Texas IPWDA K9 Training Seminar Alvin Police Department 1500 South Gordon Alvin, Texas February 23rd, 2014 – February 28th, 2014 IPWDA Federal Tax# is 20-5883593 Registration Form: Please complete all three forms and mail them to: Scott Green Alvin Police Department 1500 South Gordon Street Alvin, TX 77511 Name: Click here to enter text. IPWDA Memebership #: Click here to enter text. Mailing Address: Click here to enter text. City: Click here to enter text. State: Click here to enter text. Zip Code: Click here to enter text. Home: Click here to enter text. Cell: Click here to enter text. Email: Click here to enter text. Agency: Click here to enter text. Agency Address: Click here to enter text. City: Click here to enter text. State: Click here to enter text. Zip Code: Click here to enter text. Breed: Click here to enter text. K-9’s Age: Click here to enter text. Work Phone: Click here to enter text. K-9’s Name: Click here to enter text. Choose One: Will you be attending: Male Female Patrol Narcotics Will you be participating in IPWDA Certifications? Explosive Yes No IPWDA 2014 - Texas Cost: Seminar Fee only - $225.00 members and Non-members Late Registration after February 1, 2014, for members and Nonmembers will be $325.00. IPWDA Membership Fee – $45.00 for Regular Members / $60.00 for Associate Members All IPWDA Membership fees paid to IPWDA at www.ipwda.org/membership.php No membership fees accepted at seminar. You must be a member in good standing to certify, if not your certifications will not be valid. Make sure membership is current. Waiver of Liability—Legal Disclaimer The Undersigned Participant understands that Police Dog training has the potential for injury to the participant. Police Dog training can not be made risk free. In consideration of being allowed to participate in the 2014 Texas IPWDA Workshop the participant agrees to release from any claims of damages due to injury the International Police Work Dog Association, Event Trainers, Event Helpers, Host Agencies, participating Agencies, sponsoring organization, or any involved Dog Training Facility. The participant also agrees to hold harmless any agent, official, officer, or servant of the International Police Work Dog Association, Host Agencies, or Participating Agencies. The participant understands that there may be strong disagreement between experts on some of the presented material. The participant is ultimately responsible for the proper use, training, and deployment of his/her canine. Print Name: Click here to enter text. Date: Click here to enter a date. Signature: _________________________________ I understand that my dog must be crated when left alone in the room. I understand that I am responsible for any damages caused by my dog due to a failure to properly secure my dog in the room. Print Name: Click here to enter text. Date: Click here to enter a date. Signature: _________________________________ Fill out completely and return all three forms to: IPWDA—2014 Texas; Attn: Scott Green 1500 South Gordon St. Alvin, Texas 77511 Method of payment: By Check: $225.00 Check made out to “IPWDA– 2014 Texas” enclosed. Mail check along with registration forms to the above address. IPWDA Membership can be paid at www.ipwda.org/membership.php T– Shirt Size: Sm M Lg XL XXL XXXL IPWDA 2014 - Texas Please thoroughly fill out the form to give us an idea of what you would like to work on, which will help us to better staff and organize the seminar. You will NOT be scheduled into any particular event based upon response to this survey. Each day at the seminar you will make your own schedule and attend what will be most helpful to you. Motivational Obedience Building a “soft dog” Surface Problems Outing problems Scenarios—Tracking Package Searches Scenarios-Muzzle Recalls Scenarios—Narc. Vehicles Scenarios—Explosives Scenarios—Article Searches Scenarios—Building Search Scenarios—Apprehensions Scenarios—Narc. Packages Certifications will be the most difficult items to schedule, and may impact some of our other offerings. Please note which best describes you: My certification is current and I will / I need to certify at the event in some areas (list): will not be certifying at the event. Click here to enter text. I’m going to certify in everything that is offered. Yes No I’ll take you up on the offer for seminar registrants only and certify ahead of time! Yes No Certifications available prior to February 12th, 2014 In Houston, Texas, Email John Ivey at ji02@ridemetro.org Hotel Information: Rate: $79.00 a night/ dogs kept in crate when not in rooms. Mention IPWDA when booking reservations. La Quinta 880 South Loop Hwy 35 Alvin, Texas 77511 (281)585-3900 For more questions or more information contact us at txipwda@yahoo.com IPWDA 2014 - Texas