Register a Dog To register a dog, please complete this form and submit it by clicking the button at the bottom of the page. Ned’s Wish will contact you about registering your retired police dog. Order Number Dog's Information Dog's name: * Breed: Day, month and year of birth (dd/mm/yyyy): Where they were born? Regimental number or badge number: * Law enforcement agency they retired from: * If working, for whom? Is the dog fully retired or working in another capacity? * Retired Working What sex is your dog? Male Female Biographical Information Please provide one or two lines about where the dog was posted (area of jurisdiction the dog worked). Please provide a couple of short examples of their achievements (i.e. high profile cases or incidents that they were involved in). Who was their handler at the time they were working; if two different handlers were involved please provide names. Please provide a couple of lines of the funny things your dog does. Please provide any health issues the dog is currently facing or has undergone that will likely impact your dog in later retirement years. Please submit a high quality photo (i.e. not grainy when enlarged) of your dog to be posted on the website. This is critical to garner support and show off our retired working dogs. Your choice of photographs may include something funny or working (whatever you feel comfortable with). Profile photo Dog's Health Care Information Is the dog insured? If so, provide the name of insurer: Regular veterinarian or vet clinic: Owner Information Full name: Address: City/Town: Province - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Postal code: Telephone: Email: Agree I agree Ned’s Wish may modify and edit content to maintain consistency with the website. If you have any concerns please feel free to contact us. Contact I give Ned’s Wish permission to contact me in the future regarding my registration and claims. newsletter I give Ned’s Wish permission to send me newsletters and information about fundraising and events.