Required fields are marked with asterisks (*)

Application for Dog Licence

The Township of Algonqiun Highlands requires that dog owners provide tags for their dogs as set out in By-Law 2013-21. The owner of any dog within the Township of Algonquin Highlands shall procure from the Corporation a tag for same and shall pay an annual licence fee of $10.00 for each male dog, $20.00 for each female dog, and $10.00 for each spayed female or neutered male dog. The owner of any dog that is microchipped shall pay a one-time licence fee of $20.00.

Please complete the following application to ensure our records contain accurate details about you and your pet. A separate application is required for each dog. Dog tags will be mailed upon receipt of payment for those who wish to receive them by mail.

Owner Information

Name

Home/Permanent Address

Phone Number

Email Address

Algonquin Highlands Address

Dog Information

Name

Date of Birth

Breed

Colour and Markings

Rabies Number

Latest Rabies Vaccination Date

Dog's Temperament

Sex

Female

Male

Is your dog neutered/spayed?

Yes

Does your dog have a microchip?

Yes

If yes, please provide the microchip number.

How would you like to receive your dog tag?

I would like it mailed to my home address.

I would like to pick it up at the Algonquin Highlands Administrative Office.

Signature

Clear

Date

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