Type Full Name :
Sign With Hand
Last Name
City
{[CNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
(541) 247-3366
{[AWEBSITE]}
Microchip #
If Other Breed, specify
Required Documents
Tail Length
I Have a current rabies vaccination but I am unable to locate it.
I authorize the county to contact my vet for an additional $10 fee *
Vaccination Information
City *
Size *
Owner Information
Sex *
Age *
Phone # *
Rabies Vaccination Exempt? *
Color *
{[PNAME]}
Second Phone #
Phone # *
ALL New Registrations and Renewals must include a valid Rabies Certificate.

Service Dog Applications must include a valid Service Dog Registration Certificate.

Address *
Select Payment Type *
Hair Length *
Applicant Signature *
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
Last Name *
Address 2
Dog Name *
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 #
Spayed/Neutered? *
Phone # *
State *
Address *
Note that payment must be received in full before a Dog License and Registration Tags can be issued.

Dog licenses are valid for twelve (12) months from the date purchased.

License Fee
Vaccination Date *
State
Email
Full Address *
Dog Information
Name *
Certification
Breed *
Address 2
Service Dog? *
Email
Previous License Number (if known)
Specify Address where BOTH Dog and Owner reside *
Unlicensed dogs that reside in Curry County over 30 days may receive a citation
ZIP *