Owner's Name (required) Owner's 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 1 INFORMATION ********************************* First Pet 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 ****************************** Add Next Pet ---YesNo Pet #2 Second Pet's Name (required) CatDog (Note: Cat registration is only required in the City of Ferndale) Breed *Indicate mix if not full breed* (required) Color (required) Date of Birth or Estimated Age (required) Select Sex (required) ---MaleFemale Is this 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 vaccination (if available) Must be pdf, txt, gif, png, jpg or jpeg ****************************** LICENSING & REGISTRATION ****************************** Late Registration ---Yes $10.00No Select Pet 1 Registration Type ---Altered Dog $11.00Non-Altered Dog $41.00Altered Cat $11.00Non-Altered Cat $41.00 New or Renewal License (required) NewRenewal New or Lost Tag Replacement needed? (required) YesNo Select Pet 2 Registration Type ---Altered Dog $11.00Non-Altered Dog $41.00Altered Cat $11.00Non-Altered Cat $41.00 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. Δ
