SCWT Database Personal Information Submission Form

This form is for updating your personal information stored in the Soft Coated Wheaten Terrier database. This information is kept in case a health researcher or SCWTDB Operator would want to contact you for questions regarding an entry in the database.
Please note that it is SCWTCA Endowment policy to never supply anyone or organization with a list of names, phone numbers or email addresses of persons in the SCWT database other than researchers or health studies approved by the SCWTCA Endowment.
Enter your information here then click the "Submit Data" button to send the information to a SCWTDB Operator for entry into the database.
My Personal Information
SCWTDB People ID:      Lookup Optionally populate the form with your existing information
Last Name:  Middle Initial: 
First Name:  Additional Names: 
Address: 
City: 
State / Prov: 
Postal Code:  Country: 
Phone:  Fax: 
Email: 
Personal Web Site:   (your own web site if you have one)
Kennel Name:  AKC Number: 
Display Option: 
Note that these options allow you to control the display of your people data to general
database users. Operators or researchers will still be able to see all your info and contact you.

Additional Comments: 
By clicking the "Submit Data" button below I am confirming that I am the person listed above. Furthermore, I am attesting that the data is correct and accurate to the best of my knowledge and that I voluntarily submit the above data for entry into the Soft Coated Wheaten Terrier Database. I authorize release in accordance with SCWT Database policies and I authorize a SCWTDB Operator to contact me for data validation purposes.
Please direct any questions or comments about this form to comments@SCWTDB.org.