WORKING DOG- UPDATE LISTING

Registration Number

1593632597

Handler's Name *

Will appear on Registration Screen.

Email *

You will receive a confirmation email with your registry number.

Dogs Name *

Type of Working Dog *

Please select the type of Service Dog you are registering.

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Dogs Status *

Please select the dogs current status.

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Dogs Date of Birth

Provide the dogs actual date of birth or approximate, if unknown.

Info Option

Check either or both to ensure provided address and phone data is suppressed.

Don't list address

Don't list phone

Address

If you checked the "Don't list address", the address you list below will not appear on the registration.

Phone

If you checked the "Don't list phone", the phone number you listed below will not appear on the registration.

Current Dog Photo

Upload New Dog Photo

Upload Dog's Photo

Select File
Max File Size 15MB

Current Handler's Photo

Upload Handler's Photo

Select File
Max File Size 15MB

250 Palm Coast Parkway NE

Suite 607 MSC 900

Palm Coast, Fl 32137-8225

Telephone: 386/864-8200

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