Application For Dog License - Town of Stewiacke

Owner Information

This form is to be completed for individual dogs.

Owner's Name:(*)

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Mailing Address:(*)

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Phone No: (h)

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Cell No: (w)

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Email:(*)

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Pet Information

Breed:(*)

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Gender:(*)

MaleFemale Invalid Input

Spayed/Neutered:(*)

YesNo Invalid Input

Colour(s):(*)

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Name:(*)

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Characteristics:

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Micro chipped / Tattoo:

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Age:(*)

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Dog registration is an easy way to ensure that your dog is returned to you if you ever lose your animal. It also may
keep you from being liable for any damage your dog may do to someone else’s property. The Town receives
numerous calls from residents who have found a stray and because of a tag; the animal and their owner are able to
be reunited.

Registration Fee: $25.00 for each dog

Pay at the Town Hall or via e-transfer to This email address is being protected from spambots. You need JavaScript enabled to view it.
Email form to This email address is being protected from spambots. You need JavaScript enabled to view it. or drop it off at the Town Hall or mail with payment to PO Box 8, Stewiacke, NS B0N 2J0
The license tag can be picked up at Town Hall or mailed to you.

Do you want the tag sent via mail after payment is received?

Send the tag after payment is received. Invalid Input

Date:(*)

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Signature of applicant(*)

Sign Above

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Security check(*)

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Submit