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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