2. DOG LICENSE

4. All dogs (aged 6-months and older) must be registered by April 1^st each year. (Monday, April 3, 2023.)  Use this form to begin the process of registering your dog.

   Your dog IS NOT REGISTERED until (1) online payment and (2) a current Rabies Certificate are received (or confirmed to be on file).  If your payment and/or the rabies certificate are received after April 3rd, the late fee will apply.  (Both must be at the Town Clerk's Office on or before April 3rd - postmark does not apply.)

6. OWNER INFORMATION

8. Owner First Name*
9. Owner Last Name*
11. Physical Street Address (where dog lives)*
13. City
14. State
15. Zip Code
17. Is your mailing address the same as your physical address?*
    -- Select One --YesNo
19. Mailing Street Address*
21. City*
22. State*
23. Zip Code*
25. Phone Number*

    XXX-XXX-XXXX

27. Preferred method of communication?
    -- Select One --PhoneEmail
28. Email Address

30. DOG INFORMATION

32. Name of Dog*
33. Age (Years & Months)*
34. Size*
    -- Select One --Small (under 20 lbs)Medium (20-50 lbs)Large (over 50 lbs)
36. Sex*
    -- Select One --MaleFemale
37. Is the dog spayed/neutered?*
    -- Select One --YesNo
38. Color*

    If your dog got loose, how would someone describe its color?

40. Prominent Breed*

    If mixed, please provide whatever breed your dog closest resembles.

41. Is a current Rabies Certificate on file at the Clerk's Office?*
    -- Select One --YesNoUnknown
42. Rabies Certificate*
44. Do you have any more dogs to register today?*
    -- Select One --YesNo
45. Total number of dogs (including the one entered above):
47. Name of Dog #2*
48. Age (Years & Months)*
49. Size*
    -- Select One --Small (under 20 lbs)Medium (20-50 lbs)Large (over 50 lbs)
51. Sex*
    -- Select One --MaleFemale
52. Is the dog spayed/neutered?*
    -- Select One --YesNo
53. Color*

    If your dog got loose, how would someone describe its color?

55. Prominent Breed*

    If mixed, please provide whatever breed your dog closest resembles.

56. Is a current Rabies Certificate on file at the Clerk's Office?*
    -- Select One --YesNoUnknown
57. Rabies Certificate*
59. Name of Dog #3*
60. Age (Years & Months)*
61. Size*
    -- Select One --Small (under 20 lbs)Medium (20-50 lbs)Large (over 50 lbs)
63. Sex*
    -- Select One --MaleFemale
64. Is the dog spayed/neutered?*
    -- Select One --YesNo
65. Color*

    If your dog got loose, how would someone describe its color?

67. Prominent Breed*

    If mixed, please provide whatever breed your dog closest resembles.

68. Is a current Rabies Certificate on file at the Clerk's Office?*
    -- Select One --YesNoUnknown
69. Rabies Certificate*
71. Name of Dog #4*
72. Age (Years & Months)*
73. Size*
    -- Select One --Small (under 20 lbs)Medium (20-50 lbs)Large (over 50 lbs)
75. Sex*
    -- Select One --MaleFemale
76. Is the dog spayed/neutered?*
    -- Select One --YesNo
77. Color*

    If your dog got loose, how would someone describe its color?

79. Prominent Breed*

    If mixed, please provide whatever breed your dog closest resembles.

80. Is a current Rabies Certificate on file at the Clerk's Office?*
    -- Select One --YesNoUnknown
81. Rabies Certificate*
83. Name of Dog #5*
84. Age (Years & Months)*
85. Size*
    -- Select One --Small (under 20 lbs)Medium (20-50 lbs)Large (over 50 lbs)
87. Sex*
    -- Select One --MaleFemale
88. Is the dog spayed/neutered?*
    -- Select One --YesNo
89. Color*

    If your dog got loose, how would someone describe its color?

91. Prominent Breed*

    If mixed, please provide whatever breed your dog closest resembles.

92. Is a current Rabies Certificate on file at the Clerk's Office?*
    -- Select One --YesNoUnknown
93. Rabies Certificate*
95. Name of Dog #6*
96. Age (Years & Months)*
97. Size*
    -- Select One --Small (under 20 lbs)Medium (20-50 lbs)Large (over 50 lbs)
99. Sex*
    -- Select One --MaleFemale
100. Is the dog spayed/neutered?*
     -- Select One --YesNo
101. Color*

     If your dog got loose, how would someone describe its color?

103. Prominent Breed*

     If mixed, please provide whatever breed your dog closest resembles.

104. Is a current Rabies Certificate on file at the Clerk's Office?*
     -- Select One --YesNoUnknown
105. Rabies Certificate*
107. Name of Dog #7*
108. Age (Years & Months)*
109. Size*
     -- Select One --Small (under 20 lbs)Medium (20-50 lbs)Large (over 50 lbs)
111. Sex*
     -- Select One --MaleFemale
112. Is the dog spayed/neutered?*
     -- Select One --YesNo
113. Color*

     If your dog got loose, how would someone describe its color?

115. Prominent Breed*

     If mixed, please provide whatever breed your dog closest resembles.

116. Is a current Rabies Certificate on file at the Clerk's Office?*
     -- Select One --YesNoUnknown
117. Rabies Certificate*
119. Name of Dog #8*
120. Age (Years & Months)*
121. Size*
     -- Select One --Small (under 20 lbs)Medium (20-50 lbs)Large (over 50 lbs)
123. Sex*
     -- Select One --MaleFemale
124. Is the dog spayed/neutered?*
     -- Select One --YesNo
125. Color*

     If your dog got loose, how would someone describe its color?

127. Prominent Breed*

     If mixed, please provide whatever breed your dog closest resembles.

128. Is a current Rabies Certificate on file at the Clerk's Office?*
     -- Select One --YesNoUnknown
129. Rabies Certificate*
131. Name of Dog #9*
132. Age (Years & Months)*
133. Size*
     -- Select One --Small (under 20 lbs)Medium (20-50 lbs)Large (over 50 lbs)
135. Sex*
     -- Select One --MaleFemale
136. Is the dog spayed/neutered?*
     -- Select One --YesNo
137. Color*

     If your dog got loose, how would someone describe its color?

139. Prominent Breed*

     If mixed, please provide whatever breed your dog closest resembles.

140. Is a current Rabies Certificate on file at the Clerk's Office?*
     -- Select One --YesNoUnknown
141. Rabies Certificate*
143. Name of Dog #10*
144. Age (Years & Months)*
145. Size*
     -- Select One --Small (under 20 lbs)Medium (20-50 lbs)Large (over 50 lbs)
147. Sex*
     -- Select One --MaleFemale
148. Is the dog spayed/neutered?*
     -- Select One --YesNo
149. Color*

     If your dog got loose, how would someone describe its color?

151. Prominent Breed*

     If mixed, please provide whatever breed your dog closest resembles.

152. Is a current Rabies Certificate on file at the Clerk's Office?*
     -- Select One --YesNoUnknown
153. Rabies Certificate*

155. FEES

     On or before April 3^rd:
     Spayed/Neutered - $9.00 per dog
     Not Spayed/Neutered - $13.00 per dog

     After April 3^rd:
     Spayed/Neutered - $11.00 per dog
     Not Spayed/Neutered - $17.00 per dog

156. How do you intend to submit payment?*
     -- Select One --OnlineIn-Person or Dropbox

     PAY ONLINE HERE

     Or make a check payable to "Town of Milton" and put in the 24-hour drop box at the Municipal Building.
     

158. PLEASE NOTE:  This form is the first step in licensing your dog.  Your dog is NOT officially registered until a current Rabies Certificate and payment are received.  Once received, we will process your dog registration and send the new license & tag to the mailing address provided.

Leave This Blank:


160. 1. Receive an email copy of this form.
161. Email address

     This field is not part of the form submission.

162. Submit Submit and Print

* indicates a required field