Dog License Application

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Dog's Information
Dog's Name*
Breed*
Sex*
Color*
License Type
Product Name
Today's Date
There is a $10 Late Penalty beginning March 1, 2022
MM slash DD slash YYYY
License Type*
- SR. Citizen (Owner Age 62+) (Altered)
- SR. Citizen (Owner Age 62+) (Unaltered)
- Altered
- Unaltered
Rabies Information*
A valid rabies certificate is required in order to license your dog. Make sure you file upload is less than 6MB.
Accepted file types: jpg, gif, png, pdf, Max. file size: 6 MB.
Late Fee
Price:
Shipping Fee*
Price:
Subtotal
$0.00
Credit Card Processing Fee*
Price: $1.00
Total
$0.00
Captcha
Type the five characters in the box above.

Dog's Information