Pet Therapy Registration - Austin Dog Alliance

Sign Me Up!

***All dogs to be up to date on vaccinations.***

Your Information

I am registering for:

First Name:

Last Name:

Email:

Home Phone:

Mobile Phone:

Address:

City:

State:

Zip:

List your dog by name, breed and age:

Will there be an additional handler for this dog?
(Additional $15.00 charge)

Yes No

Would you like to pre-order a Delta Society Pet Partners Team Training Course Manual? ($40.00 charge)

Yes No

VACCINATION POLICY: All dogs must have up to date on vaccinations. Owners must submit vaccination records from veterinarian that include Rabies, DHLPP and Bordetella. Rabies is required for puppies older than 4 months of age. Holistic owners may submit titer levels from veterinarian. All dogs must be free of any communicable condition that could jeopardize other guests.

You can either email in your current vet records (debi@austindogalliance.org), or you or your vet can fax them to us (512-287-4880, PLEASE have them include cover sheet Attention Pet Therapy) or provide your vet’s name and phone number and we will give them a call.

Will Email: Will Fax: Will Provide Vet's name and phone number:

Vet Name:

Vet Phone:

Enter image characters:
(they are case sensitive)

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