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Dog License Application
Owner Information
Name
Address
Phone
Email
Dog Information
Pet Name
Breed
Sex
Female
Male
Is your pet Spayed / Neutered?
No
Yes
Color
Weight
Age
Last Rabies Vaccination
(mm-dd-yyyy)
Duration of Vaccination in years
1
2
3
Required License Length
1
2
3
In order to purchase a three license the rabies vaccination has to be valid for three full years. Please remember that you will need to send in a copy of your pets vaccination record to the shelter.
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