Welcome to the Pet Registration page for our Pet Emergency Database.  Registering your pets in our Pet Emergency Database will facilitate reuniting your rescued pets with you during an emergency, and will also help emergency responders to care for your pets during a rescue, if your pet is injured or while your pets are in a pet emergency evacuation shelter.

During Hurricane Katrina, over 70,000 pets were rescued and evacuated to pet emergency evacuation shelters.  These pets were distributed to multiple pet shelters across several states during the evacuation period.  However, there was no central information depository where pet owners could search to find their pets.  As a result, most of these pets were never reunited with their owners.

We plan to solve this problem on Fidalgo Island with our Pet Emergency Database.  This database is part of our website, and will be activated only during an emergency that involves pet evacuations or rescues.   Pet owners will be able to search this database to learn if their pet has been rescued, the pet’s medical condition, and who to contact or where to go to recover their pet.  Emergency responders will also use the information in this database to care for your pet during an emergency or evacuation, and to reunite you with your pet when your pet is rescued or when your lost pet is found.

Registration is free of charge, and you can update your registration information as often as you like.  Please complete one complete registration for each pet that you would like to register.  Give us as much information as you can.  The more information you give us, and the more you keep the information updated, the better we can care for your pet in the case of an emergency or disaster .

Register Your Pet

* = Required.

I am...

 Registering My Pet for the First Time Updating an Existing Registration

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Your Pet's Information

Name of Pet*:
Type of Pet*: ---DogCatBirdFerretRabbitOther
Breed:
Color:
Age of Pet:
License Number:
Chip Number:
Close Up Photo of Your Pet's Face from the Front:
Full Photo of Your Pet from the Side:
Photo of Pet with Owner. This photo will be used to identify you at the pet emergency shelter to ensure that the person retrieving the pet is actually the real owner:

If your files don't upload please email them to charlierandallpetfoundation@gmail.com

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Your Pet's Vet

Vet Address:
Vet Name:
Vet Phone Number:
Permission to contact vet and permission for vet to share information with the Charlie Randall Pet Foundation in the case of an emergency or disaster  Yes No

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Owner Information

Emergency Contact if you cannot be reached. Please feel free to include several emergency contacts.*:
Owner Name*:
Owner Phone Number(s)*:
Owner Address*:
Owner City*:
Owner State*:
Owner Zipcode*:
Owner Email*:

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Your Pet's Health

If your pet was given any of the following immunizations/vaccinations, please list the last date that the immunization/vaccination was given:

Rabies
Distemper or FVRCP
Kennel Cough or Bordetella
Feline Leukemia
Known Medical Conditions
About Your Pet (Include medical or behavioral issues we should be aware of):

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