Contact Update Form

Contact Update Form

Use this form to update your contact information or to change your household details.
Your name (as it currently appears in our records)*

First NameLast Name
What would you like to update?*

Name changePhone numberEmailAddress (primary residence, MN/WI cabin, other secondary address)Add household member(s), including new dog or catRemove household member(s)
Updated name*

First NameLast Name
Updated preferred name (for publications)

First NameLast Name
Email previously used *
example@example.com
New email*
example@example.com
New phone number *
Please enter a valid phone number.
New phone number type*
New address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
New address type*
To receive approval to host Can Do Canines dogs at your MN or WI secondary residence, please provide the name and address of the nearest emergency vet to the residence. *
Puppy Program staff may contact you for additional details prior to approval.
Update household members*
If you are adding a new dog or cat to your household, congratulations on the new addition! We will contact you to arrange a meet and greet with your new pet.
Should be Empty: