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Today is Saturday, July 5, 2025.
Dog Registration Annual Application

Please complete this Annual Application for the Registration of a Dog. Rest of desctiptive info goes here.

* Information is required.

Contact Information

* First Name:
* Last Name:
Daytime Phone: ()  –
* Address:
* City:
* State:
* ZIP:

Account Number
 
Comments
 
Select shape of license tag
 
* Dog's name
 
* Age YR/MO
 
* Sex
 
* Breed code
 
* Hair Length

 
* Hair Color
 
* Fee
 
Penalty
 
License #
 
Attach a Picture or File (max size: 30MB):
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* Information is required.

Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

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