Animal License Registration

2. Owner Information

4. Name(s)*

6. Address*

7. Zip Code*

9. Phone Number*

10. Email Address

14. Animal Information

16. Name*

17. City License Tag Number*

18. Age*

    Please use Months or Years with the number provided.

20. Breed*

21. Color*

22. Sex*

    1. Male
    2. Neutered Male
    3. Female
    4. Spayed Female

24. Rabies Tag Number:*

25. Rabies Vaccination Date:*
    Rabies Vaccination Date:

27. Rabies Vaccination Certificate

    Attach a copy of your most recent rabies vaccination

29. Veterinary Clinic:*

30. Veterinary Phone Number:

34. Payment Information*

    PAYMENT INFO: There is no fee for neutered and spayed dogs. To make payment for unneutered or unspayed dogs, please call 744-2451. Registrations that require payment will not be complete until payment is received.

    1. NO FEE for Neutered / Spayed
    2. $50 Unneutered / Unspayed
    3. $10 Additional Fee After March 1
    4. $3 Replacement License Tag Fee
38. Receipt Number

Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field