Pet License Registration Form

Owner *

Street Addess *

Mailing Address *

Phone *

Email Address *

Pet Information

Name of Pet *

Type * Dog
Cat

Gender * Male
Female

Birth Year *

Is Your Pet * Spayed
Neutered
Not Fixed
Under 12 Months

Breed *

Description (Color, Special Markings etc.) *

Registration is not complete until fees are paid to the Town Office and a tag is issued. Pet licence purchases fees can be paid through your online banking bill payments using your utility account, OR IN PERSON at the Town Office located at 710 Railway Avenue.

* - denotes required field