Register Animal Information & Registry Sign Up Use this online form to register and submit your animal information. Create Username Create Password Enter Password Confirm Password Order Source*Please select one of the following options below. For example, if you purchased one of our products from Amazon, please choose "Amazon Order". Confirm that you are an existing customer and enter your Registration Number below. Amazon Order eBay Order ServiceAnimalBadge.com Order Other Existing Customer Become part of the Service Dog Handler Community! Check out our latest featured products and more: Amazon.com For more information visit our website: Serviceanimalbadge.com Registration Number* Amazon Order Number* eBay Username* Text to display on card* Phone Address Website None of the above Phone** Street Address City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Registration IDHiddenService Animal & Handler Details #2 Animal Photo Handler Photo (Optional) Animal Name* Handler Name* Phone*Animal Category Service Dog Emotional Support Animal Therapy Dog Search & Rescue (For Reference only, this will NOT be displayed on the card)HiddenFreemium Email* Special Requests or Comments:Terms of Service*View Terms I agree to the Terms of Service * After submission you will receive an email confirmation regarding your registration. * Once you submit this form, you will be able to add another service animal. * If you need help filling this form call +1 (800) 585 1093 or visit our Contact Us page.HiddenHandler Medical Condition HiddenMicrochip/Existing Reg. ID # HiddenAnimal DOB MM slash DD slash YYYY HiddenBreed HiddenAnimal Service CategoryChooseServiceEmotional SupportTherapyMobility AssistanceHearing AssistancePhysical AssistanceVisual AssistanceSeizure AssistanceWheelchair AssistanceAutism AssistanceMedical AlertAllergy AlertDiabetic AlertPersonal ProtectionLaw EnforcementSearch and RescueMilitary TrainedArson / Fire DogPTSD Service DogHiddenTraining Status My Service Animal does NOT require training (Emotional Support) My Service Animal is already trained My Service Animal is in training My Service Animal will start training soon HiddenEmergency Contact (name) HiddenEmergency Contact (phone)HiddenAnimal InsuranceMax. file size: 80 MB.HiddenAnimal Certification Drop files here or Select files Max. file size: 80 MB. HiddenDoctor Letter Drop files here or Select files Max. file size: 80 MB. HiddenAnimal Medical Records Drop files here or Select files Max. file size: 80 MB. Not a Pro Handler Member yet? Upgrade Now SAMPLE PROFILE PRO HANDLER PROFILE SAMPLE × ... Check to confirm that all your information is correct.* Everything is correct HiddenService Animal & Handler DetailsHiddenSolo Handler Solo Handler PhoneThis field is for validation purposes and should be left unchanged.
