Animal License Application Form Step 1 of 7 14% Owner's DetailsOwner Name Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Postal Route Postal Site Home PhoneCell PhoneBus. PhoneFax PhoneEmail Number of petsHow many pets would you like to license? 1 2 3 4 Details for Pet #1Name SpeciesDogCatHensBreed Color Markings Sex Male Female Spayed/Neutered? Yes Vet records are required for proof of spay/neuter Drop files here or Select files Max. file size: 50 MB. Year Born Fee Paid:Spayed/Neutered Housepet ($15)Not Spayed/Neutered Housepet ($30)Urban Hen License ($50) Details for Pet #2Name SpeciesDogCatHensBreed Color Markings Sex Male Female Spayed/Neutered? Yes Vet records are required for proof of spay/neuter Drop files here or Select files Max. file size: 50 MB. Year Born Fee Paid:Spayed/Neutered Housepet ($15)Not Spayed/Neutered Housepet ($30)Urban Hen License ($50) Details for Pet #3Name SpeciesDogCatHensBreed Color Markings Sex Male Female Spayed/Neutered? Yes Vet records are required for proof of spay/neuter Drop files here or Select files Max. file size: 50 MB. Year Born Fee Paid:Spayed/Neutered Housepet ($15)Not Spayed/Neutered Housepet ($30)Urban Hen License ($50) Details for Pet #4Name SpeciesDogCatHensBreed Color Markings Sex Male Female Spayed/Neutered? Yes Vet records are required for proof of spay/neuter Drop files here or Select files Max. file size: 50 MB. Year Born Fee Paid:Spayed/Neutered Housepet ($15)Not Spayed/Neutered Housepet ($30)Urban Hen License ($50) PaymentLicensing Fees: License for each neutered male or spayed female License for each male not neutered or each female not spayed Urban hens license (Maximum of 10 per year) License for each neutered male or spayed female Price: $ 15.00 CAD Quantity: License for each male not neutered or each female not spayed Price: $ 30.00 CAD Quantity: Urban hens license (Maximum of 10 per year) Price: $ 50.00 CAD Quantity: If the said Dog/Cat is brought into Town after the 31s day of August in any year, the said fee shall be $10.00 for item one (1) above and $20.00 for item two (2) above.Total Credit CardCard Details Cardholder Name