Online Licensing 1 Pet Owner's Name (required) Owner's Physical Address (required) Is mailing address the same as physical address? YesNo Owner's Mailing Address (if different) Home Phone (required) Other Phone Email Address (required) PET INFORMATION ********************************* Pet's Name (required) CatDog (Note: Cat registration is only required in the City of Ferndale.) Select Sex (required) ---MaleFemale Breed (required) *Indicate mix if not full breed* Color (required) Date of Birth or estimated age (required) Is your pet spayed or neutered? ---YesNo Sterilization was performed at: Name of Hospital Date of procedure Is your pet micro-chipped? ---YesNo Microchip Number Microchip Company Does this pet have current rabies vaccination? ---YesNo Name of Clinic Date of Vaccination Expiration Date Upload copy of rabies certificate(s). (if available) Must be pdf, txt, gif, png, jpg or jpeg LICENSING REGISTRATION ********************************* Select Registration Type: ---Altered Dog $11.00Non-Altered Dog $41.00Altered Cat $11.00Non-Altered Cat $41.00 Late Registration? ---Yes $10.00No New or Renewal License (required) NewRenewal New or Lost Tag Replacement needed? (required) YesNo *License Contracts will be mailed unless otherwise requested. Please allow 1 to 2 weeks for receipt of license contracts due to processing time.
