Kennel License Application printable pdf download

Kennel License Application

KENNEL LICENSE APPLICATION

Fee - $100.00

Name of Applicant________________________________________________________

Address of Applicant______________________________________________________

Telephone Number________________________________________________________

Name of Kennel__________________________________________________________

Address of Kennel________________________________________________________

Telephone number of Kennel________________________________________________

Type of Kennel___________________________________________________________

Number of dogs proposed to be kept__________________________________________

Describe facilities, i.e. pens, runs, equipment, care proposed_______________________

_______________________________________________________________________

Additional information may be stated on back of application form.

Name, breed, color, sex and neuter/spay status of each dog you own_________________

_______________________________________________________________________

Name and address of house veterinarian or veterinarian on call_____________________

_______________________________________________________________________

Provisions made for such matters as howling, dangerous dogs, safety of persons

visiting kennels, etc._______________________________________________________

_______________________________________________________________________

Date of application________________________ By:__________________________

Kennel License Application