New Pending In Progress Issued Denied Inactive Other

Last Name *

# Pets

Pet Information

Certification

Specify Address where BOTH Pet and Owner reside. If address is not available, select 'Non Resident Or Address not Found'. *

First Name *

License Fees

Owner Information

Email

DOGS DO NOT APPLY.
(For Dogs, please use the Dog License Registration form.)

Address 2

ZIP *

Signature *

By signing below, I the owner certify that all of the information provided in this application is true and accurate.

Phone # *

Fee Total

Cat and other animal registration is voluntary

Address *

Add a record and enter details for each Pet owned at the address *

City *

State *