Form Center

Pet Licensing Form

2. Need Help?
   If you need help with this form, please call Animal Care and Control at 817-276-4799.

   If you need help with this form, please call Animal Care and Control at 817-276-4799.

4. Owner Information

6. First Name of Owner*

7. Last Name of Owner*

9. Email address of Owner*

11. Street address where animal resides*

13. City*

14. State*

15. Zip Code*

17. Owner's primary phone number*

18. Secondary phone number (if applicable)

20. Pet Information

22. Name of Dog or Cat being Licensed*

23. Dog or Cat?*

    1. Dog
    2. Cat

24. Colors of dog or cat*

25. Breed of dog or cat*

27. Age of animal*

28. Gender of animal*

    1. Male
    2. Female

29. Photo of the animal being licensed*

    Please upload a color photo of the dog or cat being licensed.

31. Date of Vaccination?*

32. Date Vaccination Expires?*

34. Rabies Tag #*

35. Image of rabies certificate*

    Please upload a .jpg image or .pdf of the certificate.

37. Has your pet been spayed/neutered?*

    1. Yes

    1. No

38. Image of Spay/Neuter documentation

    Please upload a .jpg image or .pdf of documentation of spaying or neutering of this animal (if applicable)

40. Date the spay/neuter was completed?

41. Which animal clinic was the spay/neuter performed?

43. Has your pet been micro-chipped?*

    1. Yes

    1. No

44. Image of micro-chipping documentation

    Please upload a .jpg or .pdf of documentation of micro-chipping of this animal (if applicable)

46. Microchip Id#

48. Would you like to pick up you're license or have it mailed to you?*

    1. Pick up the license at the Animal Care & Control
    2. Mail the license to you're address

50. Payment Instructions
    Choose one of the options below. The licensing fee is $15, but there is a $5 discount for those dogs and cats that are spayed/neutered. There is an additional $5 discount if your dog or cat is micro-chipped. Choose "0" in Quantity for each option that doesn't apply to your pet.

    Choose one of the options below. The licensing fee is $15, but there is a $5 discount for those dogs and cats that are spayed/neutered. There is an additional $5 discount if your dog or cat is micro-chipped. Choose "0" in Quantity for each option that doesn't apply to your pet.

52. Name

    Pet License

53. Price

54. Quantity*

    1. 0

    1. 1

56. Shipping Cost

57. Taxable

59. Name

    Pet License - already microchipped

60. Price

61. Quantity*

    1. 0

    1. 1

63. Shipping Cost

64. Taxable

66. Name

    Pet License - already spayed/neutered

67. Price

68. Quantity*

    1. 0

    1. 1

70. Shipping Cost

71. Taxable

73. Name

    Pet License - already spayed/neutered and micro-chipped

74. Price

75. Quantity*

    1. 0

    1. 1

77. Shipping Cost

78. Taxable

Leave This Blank:


79. Calculate Totals Proceed to Checkout

* indicates a required field