Dog License Form

2. Fee: $20. Online payment is required after form submittal.

4. License Term Dates: May 1, 2018 - April 30, 2020
   All dogs older than 6 months old must be licensed.

   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

    Vadnais Heights

14. State
    MN

    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.
    <strong>Notice:</strong> Dog License must be secured after 6 months of age.

    Notice: Dog License must be secured after 6 months of age.

Leave This Blank:


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

    This field is not part of the form submission.

33. Submit

* indicates a required field