Required fields are marked with asterisks (*)

Dog Tag Application Form

Use the form below to register a new dog that is not yet registered. You are not required to fill out the form for a renewal; simply pay your annual dog tag fee.

Contact Information:

Owner's Full Name:

Date:

Phone Number:

Email Address:

Address:

Description of Dog:

Name of Dog

Breed

Age

Colour

Please check the box that applies:

Male

Male - Neutered

Female

Female - Spayed

Do you need to licence another dog?

Yes