Type Full Name :

Sign With Hand

Last Name

If Other Breed, specify

Required Documents

Borough of
Manasquan

Vaccination Information

Owner Information

Sex *

Age *

Phone # *

Rabies Vaccination Exempt? *

Color *

Dog License
Application

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 October 31st of the licensing year.
     
2.  Renewals
     Renewals must include a valid Rabies Certificate.
     The Rabies Certificate must be valid through October 31st of the licensing year.

3.  Service Dogs
     All applications for Service Dogs must include a valid Service Dog Registration Certificate.

License Fee

Address *

Hair Length *

Applicant Signature *

First Name *

Expiration Date *

First Name

Size *

Is Valid?

If applicable, provide details of another owner for this dog that resides at the same address.

Veterinarian Information

Last Name *

Applications paid via credit card are subject to a 3% Credit Card Processing Fee

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? *

201 East Main Street
Manasquan, NJ 08736
(732) 223-0544
www.manasquan-nj.gov

How do you intend to pay? *

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 March 1st, after that a $5.00 late fee will be charged.

Fee Schedule

Vaccination Date *

Email *

Application Type - New or Renewal *

Full Address *

Dog Information

Name *

Certification

Breed *

Address 2

Type	Fee
Spayed/Neutered Dog	$ 12.00
Unaltered Dog	$ 15.00
Late Fee for Renewals after March 1st	$ 5.00

Service Dog? *

Previous License Number (if known)

Address where BOTH Dog and Owner reside (Manasquan Residents Only) - type street number and name and press Enter to search *