HomeMy Public PortalAbout2020-09-21_Form_Dog Licence Application
DOG LICENCE FORM
Dog By-Law #140
Dog owners are responsible for registering their dog(s) with the Municipality and
obtaining a licence. Dog licences are valid for five (5) years from date of issue.
***PLEASE PRINT***
Dog Guardian Name:
Mailing Address: _______________________________________________________________
Street Address: Postal
Home Phone: Work Phone: Cell Phone:
Email:
Alternate Contact #:
Dogs Name: Breed: ___________________________________
Sex: ☐ Male ☐ Female | Neutered / Spayed: ☐ Yes ☐ No | Age: ___________
Temperament: Colour: ____________ Microchipped: ☐ Yes ☐ No
Is this application a renewal? Please check: ☐ Yes ☐ No
If “Yes” please enter your dog tag number:
LICENCE FEE: $15
PLEASE MAKE CHEQUES PAYABLE TO THE MUNICIPALITY OF THE DISTRICT OF CHESTER
Mail or drop off completed form to:
Municipality of the District of Chester
Animal Control Services
PO Box 369, 151 King Street
Chester, Nova Scotia B0J 1J0
PLEASE REMIT THIS FORM WITH PAYMENT