No Yes

No Yes Exempt

Renewed Not Renewed

New Renewal

No Yes

Short Medium Long

Small Medium Large

Male Female

No Yes

No Hearing Ear Seeing Eye Service Dog

No Yes

Last Name

City

If Other Breed, specify

Required Documents *

Vaccination Information

Amount Due:

Size *

Owner Information

Sex *

Age *

Phone # *

Rabies Vaccination Exempt? *

Color *

Phone # *

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 *

Hair Length *

Applicant Signature *

Please Select 'Renewal' in order to process your Pet renewal application

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.

Veterinarian Information

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.

Late Fee (if applicable)

Month Renewed	Fee	Month Renewed	Fee
March	$10.00	August	$35.00
April	$15.00	September	$40.00
May	$20.00	October	$45.00
June	$25.00	November	$50.00
July	$30.00	December	$55.00

Phone #

Spayed/Neutered? *

Application Type *

Are you a Senior Citizen? (62+ years) *

Dogs that are over seven (7) months old or with permanent teeth must be licensed within 10 days of acquisition, including foster animals.

As of March 1st a late fee will be applied for any unlicensed pet. In addition to the licensing fee you will be charged a late fee.

Note that payment must be received in full before a Dog License and Registration Tags can be issued.

License Fee

Vaccination Date *

State

Email *

Full Address *

Dog Information

Name *

Certification

Breed *

Address 2

Service Dog? *

Email

Prev. Lic. # (If known)

Specify Address where BOTH Dog and Owner reside *
Address Search - Enter the street number and street name and press Enter to Search. For best results do not enter St., Ave, Pl, etc.*