After you complete this form, you will recieve an email that contains a link for you to verify your email address. Once you have confirmed your email address, you are granted limited access to the PWDCA HLL. You will receive an Email from the . when your account has been granted access to health data. Additional information may be required if you cannot be readily identified.

By clicking the 'Sign Up' button below, I acknowledge the following and am signing this form electronically.
  • I have read the Database Access Policy and agree to comply with it and will provide all documentation as required.
  • I understand and agree that data I submit to the PWDCA Health and Litter Log will be complete and accurate and may be edited to ensure consistent health information across the database.
  • I am over 13 years of age.
  • Before clicking on 'Sign Up', we encourage you to review an Overview of the Database contents.
denotes a required entry.