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2. Dog License Registration Form
   To obtain an annual Town of Lyons Dog License, please submit this Dog License Registration Form, which includes a copy of your dog's current rabies vaccination certificate.
   Licenses are valid May 1st - April 30th.
4. Dog Owner's Name*
5. Email Address*
7. Mailing Address*
9. Physical Address*
11. Phone Number*
13. Dog's Name*
15. 1. Male
    2. Female
16. Dog's Markings*
18. Breed(s) of your dog?*
19. Rabies Certification*
    Upload a copy of your dog's current rabies vaccination certificate, provided by a licensed veterinarian.
21. Do you have more than one dog?*

    1. Yes
    2. No
25. Name - Dog 2*
27. 1. Male
    2. Female
28. Dog 2 Markings*
30. Breed(s) of Dog 2*
31. Rabies Certification - Dog 2
    Upload a copy of your dog's current rabies vaccination certificate, provided by a licensed veterinarian.
35. Name - Dog 3
37. 1. Male
    2. Female
38. Dog 3 Markings
40. Breed(s) of Dog 3
41. Rabies Certification
    Upload a copy of your dog's current rabies vaccination certificate, provided by a licensed veterinarian.
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field