Type Full Name :
Sign With Hand
Last Name
City
4x4 Table
City State Total
Neutered Fee $8.80 $1.20 $10.00
Non-Neutered Fee $8.80 $4.20 $13.00
Service Dog Free Free Free
If Other Breed, specify
Required Documents
Application Fee
Vaccination Information
Size
Owner Information
Sex
Age
Phone #
Rabies Vaccination Exempt?
Color
{[PNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
www.brigantinebeach.org
  • Current rabies certificate
  • Spayed/Neutered certificate
    • Address
    Hair Length
    Owner Signature
    Rabies Tag #
    First Name
    Expiration Date
    ZIP
    First Name
    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 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?
    Application Type
    Note that payment must be received in full before a Dog License and Registration Tags can be issued.

    Fee Schedule
    State
    Email
    Dog Information
    Certification
    Breed
    Address 2
    Service Dog?
    Email
    Previous License # (If known)
    Specify Address where BOTH Dog and Owner reside