ASD Registry™ - American Service Dogs™ | Registration Application 2024
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This form is designed to provide a streamlined method
for you to apply for ASD™ registration of your Service Dog (SD).


NOTE: If your application is approved, you will receive your notification package
with all appropriate details within 30 business days following date of approval.

Please complete all required fields and ensure that the Handler Photo and Dog Photo are uploaded. Expect this process to take 30 minutes or more to complete.


* = Required Information

ASD APPLICATION #: 2412122130
REGISTRATION INFORMATION
 
*Application Purpose:

 
HANDLER INFORMATION
 
*Handler Name:
*Handler Main Phone Number:
Mobile Number:
 
HANDLER ADDRESS
 
Street: 

City:

 
ACCOUNT INFORMATION
 
 
 
DOG INFORMATION
 
 
Dog Birth Date (YYYY-MM-DD): 
Dog Birth City: 
Dog Birth State: 

*Spayed / Neutered:
AKC Registered:    AKC Registration Number: 
 
*Services / Actions Dog Is Trained For:
( Be specific in details of what your Service Dog has been trained to do )
 
GENERAL INFORMATION
 
      
   Veterinarian Phone Number:    
 
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