COPY of the CURRENT RABIES VACCINATION CERTIFICATE

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pet registration form date:_____ lot block addition property owners name:_____ address:_____
PET REGISTRATION FORM DATE:_________________

LOT

BLOCK

ADDITION

PROPERTY OWNERS NAME:___________________________________________ ADDRESS:___________________________________________________ TELEPHONE:__________________________

E MAIL ADDRESS:________________________

PET NAME:___________________________

DOG

BREED:______________________________

DESCRIPTION:____________________________

MALE

STERILIZED: YES

FEMALE

CAT

OTHER:_________________

NO

VILLAGE TAG #________________ *RABIES TAG #________________ *RABIES DATE DUE:______________ This form must be completed and a COPY of the CURRENT RABIES VACCINATION CERTIFICATE from a Veterinarian must be attached. /ĨLJŽƵǁŽƵůĚůŝŬĞƚŽƵƐĞƚŚĞĚŽŐƉĂƌŬĨĂĐŝůŝƚLJ͕LJŽƵŵƵƐƚĐŽŵƉůĞƚĞĂŶĚ ŝŶĐůƵĚĞƚŚĞϮϬϭϰŽŐWĂƌŬtĂŝǀĞƌĂŶĚZĞůĞĂƐĞĨŽƌŵ͘ *NOTE : IF YOUR PET IS IMPOUNDED AND NOT REGISTERED AND VACCINATED THE IMPOUND FEES ARE 3 TIMES HIGHER THAN IF YOUR PET IS REGISTERED. REGISTERING YOUR DOG WILL ACTIVATE YOUR PROXIMITY GATE CARD AND ALLOW YOU ACCESS TO THE NEW DOG PARK.

PET REGISTRATION FORM DATE:_________________

LOT

BLOCK

ADDITION

PROPERTY OWNERS NAME:___________________________________________ ADDRESS:___________________________________________________ TELEPHONE:__________________________

E MAIL ADDRESS:________________________

PET NAME:___________________________

DOG

BREED:______________________________

DESCRIPTION:____________________________

MALE

STERILIZED: YES

FEMALE

CAT

OTHER:_________________

NO

VILLAGE TAG #________________ *RABIES TAG #________________ *RABIES DATE DUE:______________ This form must be completed and a COPY of the CURRENT RABIES VACCINATION CERTIFICATE from a Veterinarian must be attached. /ĨLJŽƵǁŽƵůĚůŝŬĞƚŽƵƐĞƚŚĞĚŽŐƉĂƌŬĨĂĐŝůŝƚLJ͕LJŽƵŵƵƐƚĐŽŵƉůĞƚĞĂŶĚ ŝŶĐůƵĚĞƚŚĞϮϬϭϰŽŐWĂƌŬtĂŝǀĞƌĂŶĚZĞůĞĂƐĞĨŽƌŵ͘ *NOTE : IF YOUR PET IS IMPOUNDED AND NOT REGISTERED AND VACCINATED THE IMPOUND FEES ARE 3 TIMES HIGHER THAN IF YOUR PET IS REGISTERED. REGISTERING YOUR DOG WILL ACTIVATE YOUR PROXIMITY GATE CARD AND ALLOW YOU ACCESS TO THE NEW DOG PARK.