Clark Township
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Specify Address where BOTH Dog and Owner reside
Please enter your Street Number and part of the Street Name and select your property from the dropdown list.
Application Type
Owner Information
First Name
Last Name
Address
City
State
ZIP
Address 2
Phone #
Email
If applicable, provide details of another owner for this dog that resides at the same address.
First Name
Last Name
Phone #
Email
Dog Information
Dog Name
Breed
If Other Breed, specify
Color
Hair Length
Size
Sex
Age
Spayed/Neutered?
Prev. Lic. # (If known)
Veterinarian Information
Facility Name
Full Address
Phone #
Required Documents

All Registrations New & Renewals

  • Rabies Vaccination Certificate valid through October 31st of the licensing year
  • Spayed/Neutered Certificate If Available
Vaccination Information
Rabies Vaccination Exempt?
Rabies Tag #
Vaccination Date
Expiration Date
Is Valid?
License Fee

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

Type Fee
Spayed/Neutered Dog $22.20
Non-Spayed/Neutered Dog $25.20

  • Please be advised there is a $3.00 processing fee for Credit Card payments.

  • Please note that you will be contacted upon review of application and documentation, and at that time payment will be requested. Payment can be made via cash, check or credit card.
Amount Due:
Certification
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.
Applicant Signature
Type Full Name :