Dog License Form (Page 2 of 2) in pdf

OWNER’S INSTRUCTIONS

1. All dogs 4 months of age or older are to be licensed. In addition, any dog under 4 months of age, if running at large must be licensed.

2. Print all information in the appropriate boxes and sign the form.

3. Markings - please indicate if one or both ears have been cut off wholly or in part.

4. Choose from the list below one breed and one or two colors that best describes your dog and enter name on the license application.

5. For validation of this license submit in person or by mail, this application, fee, certification of spaying or neutering or proof of

exemption, and proof of exemption, and proof of rabies vaccination where required to the issuing clerk in the town, city or village where

the dog is harbored.

MIXES

BREED

Collie Mix

Bullmastiff

Manchester Terrier

Yorkshire Terrier

Hound Mix

Bull Terrier

Mastiff

Foxhound

Long Hair Mix

Cairn Terrier

Miniature Pinscher

Coonhound

Setter Mix

Chesapeake Bay Retriever

Miniature Schnauzer

Terrier

Shepherd Mix

Chihuahua

Newfoundland

Spaniel

Smooth Hair Mix

Chow Chow

Norwegian Elkhound

Husky

Spaniel Mix

Cocker Spaniel

Old English Sheepdog

Hound

Terrier Mix

Collie

Papillon

Sheepdog

Toy Mix

Dachshund

Pekinese

Other Purebred

Labrador Mix

Dalmatian

Pomeranian

Other Mix Breed

Doberman Pinscher

Poodle

COLORS

English Cocker Spaniel

Pug

Black

English Setter

Rhodesian Ridgeback

Brindle

BREEDS

Afghan Hound

English Springer Spaniel

Rottweiler

Brown (Liver)

Airedale Terrier

Fox Terrier

St. Bernard

Gold

Akita

German Shepherd

Saluki

Grey (Bluemerle)

Alaskan Malamute

German Shorthaired Pointer

Samoyed

Red

Am. Staffordshire Terrier

German Wirehaired Pointer

Schipperke

Spotted (Patched)

Australian Terrier

Golden Retriever

Scottish Terrier

Tan (Beige)

Basenji

Gordon Setter

Shetland Sheepdog

White

Basset Hound

Great Dane

Shih Tzu

Apricot

Beagle

Great Pyrenees

Siberian Husky

Blonde

Bichon Frise

Irish Setter

Silky Terrier

Salt and Pepper

Bloodhound

Irish Wolfhound

Soft Coated Wheaten Terrier

Silver

Borzois

Italian Greyhound

Standard Schnauzer

Ticked

Boston Terrier

Japanese Chin

Vizsla

Yellow

Bouviers Des Flandres

Keeshond

Weimaraner

Rust

Boxer

Kerry Blue Terrier

Welsh Corgi (Pembroke)

Sable

Brittany Spaniel

Labrador Retriever

Welsh Terrier

Orange

Bulldog

Lhasa Apso

West Highland White Terrier

Tri-Color

Maltese

Whippet

Dog License Form Page 2

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