EmailMe Form - ESAEU - REGISTRATION

How Did You Find Us? *

Search - Bing

Search - Google

Search - Yahoo

Twitter

Instagram

Facebook Page

Tumblr

Dog Groomers

Veterinarian

Friend

Newspaper

Mental Health Org

Doctor

Other

Emotional Support Animal Registration

Animal Type: *

Animal's Name: *

first name only

Confirm

Animal's Breed: *

Animal's Sex: *

Female

Male

Non-Binary

Animal's DOB: *

MM / DD / YYYY

Upload Animal's Photo For ID Card: *

select photo and upload with form - make sure its like a passport photo of your animal

Your Country Flag: *

Animal Address: *

Full Address inclduing Country

ESA Handler (the human)

First & last Name: *

Date of Birth: *

MM / DD / YYYY

Biological Sex: *

Male

Female

Phone Number

Email *

Confirm

Doctors/Mental Health Professional Information *

I will get a Letter as soon as I get access to a medical professional

I have a Letter from a Doctor or Mentals Health Professional

Doctor's or Mentals Health Professional's Name

Date of Letter

DD / MM / YYYY

Contact Email

File Upload

Please review your information to make sure everything is as accurate as possible.
I hereby certify that information I have provided is accurate and correct to the best of my knowledge.

By inputting my signature, I confirm that to the best of knowledge, the information I have provided to ESAEU is accurate.

NO Refund as all documentation is printed by prinitng companies and once sent cannot be recalled or cancelled

I also note that currently ESAs do not have the same legal rights as Service Animals.

signature *

Clear

MAKE SURE THIS ADDRESS IS CORRECT - IF IT IS RETURNED DUE TO WRONG ADDRESS YOU WILL HAVE TO PAY FOR NEW POSTAGE

YOUR CURRENT POSTAL / MAILING ADDRESS

WE DO NOT USE THE PAYPAL ADDRESS FOR DELIVERY

FULL DELIVERY ADDRESS *

NAME OF PERSON & FULL DELIVERY ADDRESS

POSTCODE *

COUNTRY *

POSTAL / DELIVERY TYPE:
Due to delivery issues, we have increased the fee to include tracking

Normal Post (included with tracking & signature required)

DHL/FEDEX - 3 Days (65.00)

IF FEDEX DELIVERY SELECTED - FULL PHONE NUMBER REQUIRED

Confirm

IF ESA HANDLER IS UNDER 16 - NAME OF PARENT/GUARDIAN

PARENT/ GUADIAN NAMED ABOVE AUTHORISATION

Yes

Emotional Support Animal Registration

ESA Handler (the human)

MAKE SURE THIS ADDRESS IS CORRECT - IF IT IS RETURNED DUE TO WRONG ADDRESS YOU WILL HAVE TO PAY FOR NEW POSTAGE YOUR CURRENT POSTAL / MAILING ADDRESS WE DO NOT USE THE PAYPAL ADDRESS FOR DELIVERY

MAKE SURE THIS ADDRESS IS CORRECT - IF IT IS RETURNED DUE TO WRONG ADDRESS YOU WILL HAVE TO PAY FOR NEW POSTAGE

YOUR CURRENT POSTAL / MAILING ADDRESS

WE DO NOT USE THE PAYPAL ADDRESS FOR DELIVERY