Happy Dogs registration form

1
Your name* This field is required.If there are two parents, please enter the first one for now.
First Name
Last Name
2
Your email* This field is required.
example@example.com
3
Your cell phone* This field is required.
4
Add a spouse/partner to this account?* This field is required.
YesNo
5
Your spouse/partner's name* This field is required.
First Name
Last Name
6
Your spouse/partner's email* This field is required.
example@example.com
7
Your spouse/partner's cell phone* This field is required.
8
Your address* This field is required.
Street address
Apartment number
City
State
Zip code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
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Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
9
Your dog's name* This field is required.If you want to register two dogs, please answer for the first one for now.
10
Your dog's breed* This field is required.
11
Your dog's gender* This field is required.
Male
Female
12
Your dog's birthdate* This field is required.If unknown, an approximate guess is good!
Date
Month
Day
Year
13
Has your dog been neutered or spayed?* This field is required.Dogs 9 months and older must be spayed or neutered.
YesNot yet
14
List any medical or behavior issues or needs we should know about your dogPlease include any physical or mental ailments, including hard of seeing, hard of hearing, dementia, severe arthritis, history of anaphylactic shock or other severe allergic reaction.
0/2000
15
Add a second dog to your account?* This field is required.We love siblings! :-)
YesNo
16
Your second dog's name* This field is required.If you want to register two dogs, please answer for the first one for now
17
Your second dog's breed* This field is required.
18
Your second dog's gender* This field is required.
Male
Female
19
Your second dog's birthdate* This field is required.If unknown, an approximate guess is good!
Date
Month
Day
Year
20
Has your second dog been neutered or spayed?* This field is required.
YesNot yet
21
List any medical or behavior issues or needs we should know about your second dogPlease include any physical or mental ailments, including hard of seeing, hard of hearing, dementia, severe arthritis, history of anaphylactic shock or other severe allergic reaction.
0/2000
22
Your vet?Ok to leave blank if not sure.
23
How did you hear about us?Check all that apply
Friends
Walked by
Google
Facebook
Instagram
Yelp
Flyer or handout
24
Which services are you interested in?* This field is required.Check all that apply
Daycare
Boarding
Baths
25
Likes or dislike about previous daycare or boarding services, if any
0/300
26
Your home Happy Dogs location* This field is required.Once you register for one, you'll be able to use all our locations.
Happy Dogs Southside (208 S. 3rd Street in South Williamsburg)
Happy Dogs at McCarren Park (234 N. 12th Street in North Williamsburg)
Happy Dogs Waterfront (32 N. 6th Street near Kent Ave. in Williamsburg)
Happy Dogs at 23rd and 1st (403 1st Avenue in Manhattan)
Happy Dogs Long Island City (5-04 50th Avenue in Long Island City)
27
Terms and conditions* This field is required.In short, acknowledging your understand there are inherent risks and responsibilities which you agree and accept. See link for details.
28
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