Dog Registration Submission Dog Registration Form Type:*NEW (Form must be completed entirely)RENEWAL (If renewal, complete owner name, pet name and any info that has changed only)Owner Name:* First Last Phone*Address* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Email* Owner Name (2) (if more than one owner): First Last PhoneAddress Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Email Dog's Name*Dog's Gender*MaleFemaleDog's Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Breed*Colors*Special MarkingsSize:*SmallMediumLargeMicrochip Implant?*YesNoIf Yes, Microchip Number*Tatooed?*YesNoIf Yes, Tattoo Number & Location*Dog Dangerous to People?*YesNoDog Dangerous to Other Animals?*YesNoDog Spayed or Neutered?*YesNoTotal Fee to be PaidLicense Fee is $25.00 for 3 years. If a dog is spayed or neutered, fee shall be reduced by $10.00. If dog has a microchip and number, fee shall be reduced by $5.00.
