EmailMeForm
ESAEU - REGISTRATION
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Emotional Support Animal Registration
Animal Type:
*
Please select
Dog
Cat
Rat
Ferret
Rabbit
Gerbel
Bird
Animal's Name:
*
first name only
Confirm
Animal's Breed:
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Animal's Sex:
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Female
Male
Animal's DOB:
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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:
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Austria
Belgium
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Iceland
Ireland
Israel
Italy
Latvia
Liechtenstein
Lithuania
Luxemboug
Malta
Netherlands
Norway
Poland
Portugal
Romania
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Animal's Address:
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Name of Parent or Guardian if ESA Owner is under 16 years of age
First
Last
Authorization of Parent or Guardian as the ESA Owner under 16
I Authorize this process for the person under 16 years of age under my care
ESA Owner
First Name:
*
Last Name:
*
Date of Birth:
*
MM
/
DD
/
YYYY
Sex:
*
Male
Female
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
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
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Clear
ESA EU - ONE YEAR
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ESA REGISTRATION
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
DELIVER : NAME TO
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FULL DELIVERY ADDRESS
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FULL POSTAL/MAILING ADDRESS
POSTCODE
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COUNTRY
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Austria
Belgium
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Hungary
Ireland
Italy
Latvia
Lithuania
Luxemboug
Malta
Netherlands
Poland
Portugal
Romania
Slovakia
Slovenia
Spain
Sweden
Switzerland
Iceland
Liechtenstein
Norway
Israel
Serbia
IF FEDEX DELIVERY SELECTED - FULL PHONE NUMBER REQUIRED
Confirm
POSTAL / DELIVERY TYPE:
Due to delivery issues, we have increased the fee to include tracking
Normal Post (included with tracking)
DHL/FEDEX - 3 Days (70.00)
Total
€75.00