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Dog License Form

2. Fee: $20. Online payment is required after form submittal.
4. License Term Dates: May 1, 2020 - April 30, 2022
   All dogs older than 6 months old must be licensed.
6. Attached proof of Rabies Certificate. This is required before a license can be issued.*
8. Owner's Last Name*
9. Owner's First Name*
11. Address*
13. City
    Vadnais Heights
14. State
    MN
15. Zip Code*
17. Phone*
18. Email
20. Dog's Name*
21. Dog's Age*
23. Dog's Sex*

    1. Male
    2. Female
24. Spayed/Neutered*

    1. Yes
    2. No
26. Breed*
27. Color*
28. Date of Registration*
    Date of Registration
30. This is a 2-year license.
    Notice: Dog License must be secured after 6 months of age.
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field