Type Full Name :
Sign With Hand
Last Name
City
New or Renewal?
If Other Breed, specify
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Required Documents
Vaccination Information
Size *
Owner Information
Sex *
Age *
Phone # *
Rabies Vaccination Exempt? *
Color *
{[PNAME]}
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 November 1st of the licensing year.

2. Renewals
Renewals must include a valid Rabies Certificate.
The Rabies Certificate must be valid through November 1st of the licensing year.

3. Service Dogs
All applications for Service Dogs must include a valid Service Dog Registration Certificate.

Address *
Neutered/Spayed: $10.00
Not Neutered/Spayed: $16.00
Hair Length *
Applicant Signature *
First Name *
Expiration Date *
ZIP
First Name
Fee Due
***Payment will NOT be requested until your application has been approved & accepted.***
Please monitor your e-mail for the Payment Request e-mail.
***Please DO NOT SUBMIT DUPLICATE REQUESTS.***
Is Valid?
If applicable, provide details of another owner for this dog that resides at the same address.
Last Name *
Dog Name *
By submitting this form, I am confirming that all of the information I have entered is accurate, according to the best of my knowledge. I understand that failure to provide correct information will result in revocation of my pet’s license.
Phone #
Spayed/Neutered? *
Note that payment must be received in full before a Dog License and Registration Tags can be issued.

License Fee
Vaccination Date *
State
Email *
Dog Information
Certification
Breed *
Address 2
Service Dog? *
Email
Prev. Lic. # (If known)
Specify Address where BOTH Dog and Owner reside - type the street number and street name (Ex: 123 main) and press ENTER to search *