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1. New Registrations
All new applicants must include a valid Rabies Certificate and Spayed/Neutered Certificate before a license can be issued.
The Rabies Certificate must be valid through October 31st of the licensing year.

2. Renewals
Renewals must include a valid Rabies Certificate.
The Rabies Certificate must be valid through October 31st of the licensing year.

Is this Application for a New Cat or Renewal? *
Hair Length *
Phone # *
Address *
If applicable, provide details of another owner for this cat that resides at the same address.
Veterinarian Information
Age *
Cat Information
Cat's Name *
Cat License
Phone # *
Address *
Note that payment must be received in full before a Cat License and Registration Tags can be issued.

A renewal license must be paid for prior to March 1st, after that a $20.00 late fee will be charged.

Last Name *
Amount Due
Applicant Signature *
Expiration Date *
Previous License # (if known)
Name *
Sex *
Phone #
Vaccination Information
Is Spayed/Neutered? *
If "Other", specify
123 Main Ave, Your Town USA 90210
(555) 973-2212
I acknowledge that all statements made herein are accurate and that this application will not be accepted as submitted until all required documents are remitted, and all applicable fees are paid. I acknowledge that if no payment is made within 72 hours of this application, it will be deemed null and void, and I will be required to make a new application.
License Fee
Breed *
Vaccination Date *
Township of
Your Town
Required Documents
Color *
First Name
Specify Address where BOTH Cat and Owner reside *
Last Name
Is Valid?
Address 2
First Name *
Email *
Owner Information
Is Rabies Vaccination Exempt? *