MAPWDA Summer Seminar
&
NAPWDA Certification
May 19th – 23rd, 2014
University of Massachusetts - Amherst
REGISTRATION CHECKLIST
Before mailing your application, please verify that you have completed, signed, and included
all of the items on the following checklist. To be considered a complete application, all items
must be received no later than May 12th, 2014. Be sure to make copies of all submitted
documents for your records.
1.
2.
3.
4.
Application Form
Release / Indemnification & Hold Harmless Form to UMass-Amherst
Check or Purchase Order made out to “MAPWDA” for the amount of $280
Deadline for submission is May 12th, 2014.
Please mail the above documents to:
Massachusetts Police Work Dog Association
181 Circle Drive, West Springfield, MA 01089
REFUNDS: Full refunds will be given only under the following circumstances:
(1) A request is received in writing for a refund NO LATER THAN MAY 12th, AND
(2) The participant’s space is filled by another individual, paid in full.
We apologize for any inconvenience but no refunds will be issued after May 12, 2014.
NOTE: To receive certification, you must either be a current NAPWDA member
or join before attending this workshop. See www.napwda.com for complete
details on how to join. Please do not send NAPWDA membership applications
or fees to the Massachusetts Police Work Dog Association.
May 19-23, 2014:
MAPWDA / UMASS 2014 K9 PATROL / NARCOTIC DETECTION WORKSHOP
GENERAL INFORMATION
Logistics
Handlers should expect to drive to/from the training locations and will need to provide their
own means of transportation. Handlers are responsible for their own food, water, gear, and
other necessities.
Emergency Information
A medical-veterinary safety document will be provided to every participant on the first day of
the seminar. There are both human emergency centers and animal emergency facilities in
the Amherst area as well as a paramedic-level ambulance service on the campus.
Events and Other Information
This is a certification workshop and organized training seminar. This does not preclude
handlers from training or self-organizing, however training may not occur at the facilities
where testing elements are being held. Handlers are required to comply with all rules, laws,
regulations, or other constraints during the testing and will be responsible for bringing and
utilizing all required gear.
Maps will be provided and handlers are responsible for ensuring they are at the test locations
at the required times. The schedule for testing elements will be determined by the evaluators
and organizers. Handlers are responsible for all fees for failed elements as outlined in the
NAPWDA By-Laws and Certification document. Handlers are also responsible for providing
all prerequisite documentation to the evaluators. Do not submit prerequisite documentation
with your application.
Cost
The cost to participate is $280 per team; a lunch meal will be provided by MAPWDA each
day of the week. The registration payment will cover the NAPWDA trainers’ travel and per
diem fees. All other meals, gear, fuel, lodging, and supplementary expenses are the
responsibility of the handler. Handlers with multiple dogs wishing to certify should contact a
seminar coordinator. A completed application will be required for each dog and handler.
Lodging
The Hampshire Hospitality Group has two facilities in the greater Amherst area available to
seminar attendees. Both will allow patrol dogs inside the rooms during your stay. Please be
sure to secure your room reservation quickly as lodging options become more limited
as college graduation ceremonies near. Rates, rules, and info may be found on the
attached lodging sheet.
Seminar Check-in and Orientation
If attending this year’s seminar, please plan to arrive at the UMass Amherst Police
Department on Monday, May 19th at 0800 hours. The GPS address is 585 East Pleasant
Street, Amherst, MA 01003. Ample parking is available in the police parking lot and along
the roadway across from the Amherst Fire Department. If you need detailed directions,
please contact Officer Varosky at the number listed below.
May 19-23, 2014:
MAPWDA / UMASS 2014 K9 PATROL / NARCOTIC DETECTION WORKSHOP
Lunch Meals for Seminar Participants
Again this year, seminar participants may opt for an on-campus meal program through the
University of Massachusetts Dining Services. The location is Franklin Dining Hall and
provides a variety of hot meals, grab-n-go foods, and specialty items. Vegan, vegetarian,
and other dietary needs will be addressed by the staff if necessary.
Included with your seminar registration payment is one (1) lunch per day at Franklin Dining
Hall. The lunch coupons will only be accepted at this dining hall and are not valid at offcampus eateries. Details and directions will be provided to attendees during Monday
morning orientation.
Breakfast and dinner meals may also be obtained through Franklin Dining Hall. Please note
that the purchase of these meals will be the responsibility of the seminar attendee. Sample
menus may be found at: http://www.umassdining.com/locations-menus/franklin.
Jack Schonely Lecture
Additionally, we welcome Jack Schonely (L.A.P.D.) who will present a one-day seminar on
“Suspect Tactics and Perimeter Containment”. Jack has participated in over 2,000
perimeter containments during his career, and he has seen many successes and failures. He
has shared his experience with thousands of law enforcement officers across the United
States and Canada instructing on this topic. He is the author of Apprehending Fleeing
Suspects; Suspect Tactics and Perimeter Containment© and has been published in
numerous law enforcement publications.
Jack Schonely will instruct on Friday, May 23, 2014 at the UMass campus. The curriculum is
open to all law enforcement officers to include K9, SWAT, field supervisors, air crew, watch
commanders, and first line patrol responders. For those officers wishing to only attend Mr.
Schonely’s seminar, please see the MAPWDA website for application forms.
The tuition for Mr. Schonely’s seminar is included in the K9 Summer Seminar fee of $280.
Questions and Contact Information
 For general questions, enrollment status, to cancel participation, or request a
refund, please contact Dwane Foisy at 413-446-1654 or
mak9052@yahoo.com.
 For application assistance, lodging info, directions to the training facility, to
cancel participation, request a refund, or other logistical questions,
please contact Liana Varosky at 413-626-9997 or LVarosky@umass.edu.
May 19-23, 2014:
MAPWDA / UMASS 2014 K9 PATROL / NARCOTIC DETECTION WORKSHOP
MAPWDA Summer Seminar &
NAPWDA Certification
May 19 – 23, 2014
University of Massachusetts - Amherst
APPLICATION FORM
APPLICANT INFORMATION
Last Name
First Name
Email Address
Street Address
City, State, Zip Code
Contact Phone #
Emergency Contact Name - Relationship to Handler
Phone #1
Phone #2
AGENCY INFORMATION
Department
Agency Phone #
Street Address
City, State, Zip Code
Agency Fax #
CANINE INFORMATION
Name
Breed
Age
Gender
K9 Type
K9 Ability Level
Handler Ability Level
Male
Female
Purpose of Attendance
Dual Purpose
Patrol
Narcotics
Cadaver
Tracking / Trailing
Explosives
SAR ***
Beginner
Beginner
Certification – NEW
Intermediate
Intermediate
Certification – RENEWAL
Advanced
Advanced
Training / Workshop Only
*** Separate application will be
sent to listed address above
I certify that all canines I bring to this seminar are
current on vaccines for rabies, kennel cough, and
DHLPP (initial): __________
May 19-23, 2014:
If certifying, what areas of NAPWDA certification will
you be attempting?
MAPWDA / UMASS 2014 K9 PATROL / NARCOTIC DETECTION WORKSHOP
University of Massachusetts Police Department
585 East Pleasant Street, Amherst, MA 01003
413-545-2121 (non-emergency)
University of Massachusetts/ Massachusetts Police Work Dog Association
Release / Indemnification and Hold Harmless Agreement
I, __________________________________, fully understand that my participation in the use of the
lands of the University of Massachusetts at Amherst (hereinafter referred to as “UMASS”) exposes me
to the risk of personal injury, death, or property damage. I hereby acknowledge that I am voluntarily
participating in the MAPWDA K9 Patrol / Narcotics Certification and Workshop (“Activity”) and
expressly agree to assume any such risk.
I understand that I am not required to participate in this Activity, but I want to do so, despite the
possible dangers and risks and despite this Release.
In consideration for being permitted to participate in this training, I hereby release and forever
discharge UMASS, the University of Massachusetts Police Department, the Commonwealth of
Massachusetts, the town of Amherst, the town of Hadley, the Massachusetts Police Work Dog
Association, and all their respective officers, employees, agents, Board of Trustees, and volunteers
from any and all liability, claims, demands, damages, actions or causes of action arising from or by
reason of any injury to or death to me or any person, or any damage to or loss of personal property
resulting from or arising out of any accident or occurrence in connection with my participation in the
Activity from whatever cause, whether or not such injury, death or damage is caused or alleged to be
caused by an act or failure to act of any kind on the part of UMASS, the University of Massachusetts
Police Department, the Commonwealth of Massachusetts, the town of Amherst, the town of Hadley,
the Massachusetts Police Work Dog Association, and their respective officers, employees, agents,
Board of Trustees, and volunteers or any other participants in the Activity.
In further consideration for being allowed to participate in the Activity, I hereby agree for myself, my
heirs, administrators, executors, and assigns that I shall save, indemnify, and hold harmless UMASS,
the University of Massachusetts Police Department, the Commonwealth of Massachusetts, the town of
Amherst, the town of Hadley, the Massachusetts Police Work Dog Association, and their respective
officers, employees, agents, Board of Trustees, and volunteers from any and all claims, demands,
actions, or suits arising out of or in connection with my participation in the training brought by any
third party.
May 19-23, 2014:
MAPWDA / UMASS 2014 K9 PATROL / NARCOTIC DETECTION WORKSHOP
I recognize that this Release means I am giving up, among other things, rights to sue UMASS, the
University of Massachusetts Police Department, the Commonwealth of Massachusetts, the town of
Amherst, the town of Hadley, the Massachusetts Police Work Dog Association, and their respective
officers, employees, agents, Board of Trustees, and volunteers for injuries, damages, or losses that I
may incur.
I also agree that during this Activity I will conduct myself in a safe and professional manner. I will not
engage in any unlawful activity that demeans or harasses another on any unlawful basis, including
race, sex, or religion. In addition I will not take part in any unlawful lewd behavior or sexual
harassment as those terms are defined by law. Any such harassment or behavior will be reported
immediately to the instructor or facilitator.
I have carefully read this release, indemnification and hold harmless agreement and fully understand
its contents. I am aware that it is a full release of all liability, I sign it voluntarily with full knowledge
of its significance, and I agree to be legally bound by it.
THIS IS A RELEASE OF YOUR RIGHTS. READ CAREFULLY BEFORE SIGNING.
Releasor:
___________________________________
Signature
___________________________________
Department Name
___________________________________
Printed Name
___________________________________
Date
Witness:
___________________________________
Signature
___________________________________
Date
___________________________________
Printed Name
May 19-23, 2014:
MAPWDA / UMASS 2014 K9 PATROL / NARCOTIC DETECTION WORKSHOP