Application for Animal Registry



Application for Animal Registry

** MUST PROVIDE COPY OF CURRENT RABIES CERTIFICATE **

Owner Name: _______________________________________________ Owner DOB: _______________

Physical Address: _______________________________________________________________________

Mailing Address (If Different): ____________________________________________________________

Phone Number: (Day)____________________________ (Night) _______________________________

Pets Name: _________________________________ Microchip Number: _________________________

Pet Type: DOG CAT OTHER:____________________________________________________

Pet Breed: __________________________________ Color: ____________________________________

Is Pet Altered?: YES NO NOT APPLICABLE Pet DOB: _________________________

Pets Name: _________________________________ Microchip Number: _________________________

Pet Type: DOG CAT OTHER:____________________________________________________

Pet Breed: __________________________________ Color: ____________________________________

Is Pet Altered?: YES NO NOT APPLICABLE Pet DOB: _________________________

____ (Initial) I agree to keep current the rabies vaccine for my animal AS REQUIRED BY TEXAS STATE LAW. The rabies vaccine is good for one year or a three year period from date administered as per the rabies control act.

____ (Initial) I agree to keep my animal restrained and assure that my animal will always wear a collar with the City of Kyle registration tag and the rabies vaccine tag affixed to it.

____ (Initial) I understand there is a leash law while in the City of Kyle and I must remove any feces deposits. I further understand that while in or on any City of Kyle parks trails or open spaces, I must carry a device to remove any deposits.

Signature of Owner:_______________________________________ Date: ___________________________

**ANNUAL REGISTRATION FEES**

Unaltered: $10.00 Altered: $5.00

Other Animals $5.00 Multi-Animal Owner: $60.38

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**OFFICE USE ONLY**

Processed By: _____________________

Approved By:_____________________

NWS License #: ___________________

COK Tag: ________________________

Payment Type: Cash MO Check CC

Payment Amount: __________________

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