Furgo Rides Pet Registration Form

Registration Form

Before you begin your registration, please have your updated Rabies, Distemper, and Bordetella vaccine records ready to upload.
Your Phone Number*
Please enter a valid phone number.

Owner Info
Your Full Name*

First NameLast Name
Your Email Address*
example@example.com
Your Primary home address (main pickup point)*

Street Address

Street Address Line 2
CityStateZip Code
Neighbor’s address (if they sometimes handle hand-offs)

Street Address

Street Address Line 2
CityStateZip Code
Neighbor’s Phone Number
Please enter a valid phone number.

Tell us about your Dog
Upload a picture of your dog

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Pet's Name*
Birthday

MonthDayYear
Date
Birth Date

MonthDayYear
Pet Type
Color*
Weight*
How many pounds does your pet weigh?
Gender*
Breed*
If Other Breed, please specify:

Favorite Places (Optional)
Vet Office
Daycare/Boarding Facility
Groomer
Friend’s House / Playdate Address
🛍️ Errand or Shopping Spots
Other

Emergency Contact
Emergency Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Would you like us to notify your emergency contact?*

✅ Yes, please email them to let them know they’re listed.No, thank you
Email*
example@example.com
Additional Information about your Dog (e.g., health issues, special needs)
Should be Empty: