Pet License Application

Is this a new application or a renewal?
Current Pet Tag #

Application Information (Pet Owner)

Last Name
First Name
Middle Initial
Primary Phone
Secondary Phone
Other Phone
Email
House Number
Street Address/Name
Postal Code

Mailing Address

Last Name
First Name
Middle Initial
Box Number

Co-Owner Information

Last Name
First Name
Primary Phone
Secondary Phone
Other Phone
Would you like the Town Office to release your first name and phone number if someone finds your pet?

Emergency Contacts: Please provide the names and phone numbers of up to two trusted friends or family members that we can release your pet to if necessary.

Emergency Contact 1

Last Name
First Name
Primary Phone
Secondary Phone
Other Phone

Emergency Contact 2

Last Name
First Name
Primary Phone
Secondary Phone
Other Phone

Pet Information

Pet Type
Pet Gender
Spayed/Neutered?
Had Rabies Shot?
Pet's Name
Primary Breed
Secondary Breed
Primary Markings
Primary Color
Secondary Color
Third Color
Payment Details

The pet license fee is $25.00 per pet. The cut off date to apply is October; any applications sent in after will only have to pay a fee of $15.00 per pet.
Please enter your payment details below:

All online transactions are subject to a 2.9% + 30 cent convenience fee automatically added to payment.

*By submitting this form, you declare that to the best of your knowledge, the information you have provided in this application is complete and accurate.

*If you have more than one pet, please fill this out and submit it for each.

*Your pet tag(s) will be mailed to you once your payment is received and reviewed.