German Shepherd Dog Club of Eastern Virginia

 

2011 K-9 SERVICE DOG AWARD APPLICATION

Please complete the following application

 

City:                      Dog's Name:  

Dog's Age:       Handler's Name:       Dog's Trainer: 

Type of Service(s):                      

Most notable accomplishment for the time period (1/2011-10/2011):

Accomplishments for 2011 (give brief details):        Total # of missions (2011): 

Accomplishments for 2011 (give brief details):        Total # of missions (20): 

 

City's K-9 Division Information:

Number of K-9's:     Number GSD's:     Other Breeds: 

Total # of missions preformed per year: 

Additional statistics/information:

Contact Name:     Contact phone #:    Best time:    

Contact E-Mail

NOTE:  Please submit a picture(s) of your dog if possible.

 

 

 

or complete form, print and mail to:

Gerry Colligan

10156 Bolling Blvd.

Carrollton, Va. 23314

Call Gerry at (757)357-5031 or e-mail at gericoshep@yahoo.com,

(updated 10/10/07)