Type Full Name :
Sign With Hand
Last Name
If Other Breed, specify
Required Documents
Application Type
Vaccination Information
Owner Information
Sex
Age
Phone #
Rabies Vaccination Exempt?
Color
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[PPHONE]}
{[AWEBSITE]}
{[PNAME]}
Fee Due
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 1st 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.
Address
State
Hair Length
Applicant
First Name
Expiration Date
{[CNAME]}
First Name
Is Valid?
If applicable, provide details of another owner for this dog that resides at the same address.
Veterinarian Information
Last Name
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?
City
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 April 1st, after that a $5.00 late fee will be charged.

License Fee
Vaccination Date
Email
Full Address
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 April 1st, after that a $5.00 late fee will be charged.

Dog Information
Name
Certification
Breed
Address 2
Service Dog?
Email
Previous License Number (if known)
Specify Address where BOTH Dog and Owner reside