DSW Registration Form

Dog Scouts Welcome program - Registration Form

This is the registration form for businesses that would like to let Dog Scout owners and their Dog Scouts know they are welcome.

For our website:
Business Name:
Physical address of the establishment:
City:
State:
Zip code:
Business Phone:
Business Email:
Business Website:
-
Location Type:		Retail store
		Hotel/Motel
		B and B
		Restaurant/eatery
		Other
Specify "other":
Any other details?:
Notes about access (such as "patio only") or information to help visitors find your business:
-
For our private records:
Name of person authorizing this program at the above location:
The above person's direct contact info (kept private) email, phone + ext, etc.):
Business mailing address (for the window decal and example ID):
City:
State:
Zip code:
I have met a representative of Dog Scouts of America and have the printed program information:		(Yes/No)
I have not gotten the program information and would like you to mail it to me:		(Yes/No)
I will read through and will print the program information from your website:		(Yes/No)

Please click on the "submit" button above. You information will be manually added to our website as soon as we are able to do so. We try our best to get this done within a day or two up to one week of recieving your information.

Once your entry is verified, you will be mailed a business card sized window sticker and emailed a 1/2 page with a sample ID shown along with program information for reference by yourself and your employees for verification of proper Dog Scout identification.

If you have any questions, please contact Chris Puls: DogScouts@hotmail.com or (513) 505-5071