Type Full Name :
Sign With Hand
Last Name
City
If Other Breed, specify
Required Documents
Vaccination Information
Spayed/Neutered Date
Size
Pet Owner Information
Sex
Age
Phone #
Rabies Vaccination Exempt?
Color
{[PNAME]}
Phone #

Please enclose the following documents:

  1. New Registrations:
    • Rabies Certificate valid through October of the licensing year
    • Spayed/Neutered Certificate (If Applicable)
  2. Renewals:
    • Proof of new rabies vaccination (if rabies expires prior to November 1 of the licensing year)
Address
Fee
Hair Length
Applicant Signature
Rabies Tag #
Birthdate
First Name
Expiration Date
ZIP
First Name
Is Valid?
If applicable, provide details of another owner for this dog that resides at the same address.
Veterinarian Information
Microchip #
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?
Application Type
Borough of Bradley Beach
701 Main Street,
Bradley Beach, NJ 07720,
Cathy Liput 732-776-2999 X1010,
{[AWEBSITE]}

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

  • Licenses must be renewed yearly by March 1st or a $10 late fee will be charged.
  • Make checks payable to the “Borough of Bradley Beach”.
  • No discount provided.
  • Fee waived for Support Dog/Guide Dog.

Neutered/Spayed Dog Non-Neutered/Spayed Dog
Breakdown
  • License Fee: $7.00
  • Clinic Fee: .20
  • Registration Fee: $1.00
Breakdown
  • License Fee: $7.00
  • POP Fee: $3.00
  • Clinic Fee: .20
  • Registration Fee: $1.00
Total Fee: $8.20 Total Fee: $11.20
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