Dog License Application

2. Complete the following form to apply for a dog license and/or park tag. Payments will be made through Payment Service Network. Convenience fees will apply. Please allow 7-10 business days for processing and mailing of your tags.

   Complete the following form to apply for a dog license and/or park tag. Payments will be made through Payment Service Network. Convenience fees will apply. Please allow 7-10 business days for processing and mailing of your tags.

4. First Name*

5. Last Name*

6. Phone*

8. Address1*

10. City

11. State

12. Zip

14. E-mail Address*

18. Pet Name*

19. Pet Name

20. Pet Name

22. Breed*

23. Breed

24. Breed

26. Color*

27. Color

28. Color

30. Gender*

    1. Female
    2. Altered Female
    3. Male
    4. Altered Male

31. Gender

    1. Female
    2. Altered Female
    3. Male
    4. Altered Male

32. Gender

    1. Female
    2. Altered Female
    3. Male
    4. Altered Male

34. Rabies Tag #*

35. Rabies Tag #

36. Rabies Tag#

38. Rabies Expiration*
    Rabies Expiration

39. Rabies Expiration
    Rabies Expiration

40. Rabies Expiration
    Rabies Expiration

42. Rabies Certificate*

43. Rabies Certificate

44. Rabies Certificate

46. Dog Park Permit?*

    1. Yes
    2. No

47. Dog Park Permit?

    1. Yes
    2. No

48. Dog Park Permit?

    1. Yes
    2. No

Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field