Type Full Name :
Sign With Hand
Last Name
Application Type *
If Other Breed, specify
Required Documents
Applications paid via credit card are subject to a $3.00 Processing Fee.Payment Method *
Vaccination Information
Owner Information
Sex *
Age *
Phone Number *
Rabies Vaccination Exempt? *
Color *
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
{[PNAME]}
Payment Method *
Attachments *
Phone Number
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 *
ZIP *
Applicant Signature *
First Name *
Expiration Date *
{[CNAME]}
First Name
Valid
If applicable, provide details of another owner for this dog that resides at the same address.
Veterinarian Information
Last Name *
Dog Name *
Fee Due
I acknowledge that all statements made herein are accurate and that this application will not be accepted as submitted until all required documents are remitted, and all applicable fees are paid. I acknowledge that if no payment is made within seventy two (72) hours of this application, it will be deemed null and void, and I will be required to make a new application.
Phone Number
Spayed/Neutered? *
Note that payment must be received in full before a Dog License and Registration Tags can be issued.

A renewal license must be paid for prior to February 1st, after that a $10.00 late fee will be charged.  

License Fee
Vaccination Date *
Email *
Full Address
State *
Dog Information
Name
Certification
Breed *
Address 2
Service Dog? *
Email
Previous License Number (if known)
Specify Address where BOTH Dog and Owner reside *
Pet Size *
City *