Training Record
Use for Training Only - Information used for quarterly reporting to VDEM
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Email *
Last name *
First name *
Date of Training *
MM
/
DD
/
YYYY
Training Number or Name *
Training type *
Location - City/County, State                                                                                                                                                                  i.e.; Abingdon, VA *
Training Topic(s) *
Lead Instructor *
Use Numbers only - NO TEXT - Length of Training-Total Hours - Example 8.5 *
Use Numbers only - NO TEXT -  Drive time-Round Trip-Total Hours *
Total Miles Round Trip *
K9 in Training
K9 in Training - If more than one
Other K-9 in Training
Name of Equine in Training
Other Equine in Training
Training Record - QR Code
A copy of your responses will be emailed to the address you provided.
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