Required fields are marked with asterisks (*)

Dog Licensing Application

NEW THIS YEAR! Apply & pay online for your 2024 dog tag to receive a $20 Ren's Pets Voucher. Redeemable at Rens Pets, 4315 Walker Road, Windsor ON N8W 3T6. To qualify:

Participants must apply and pay online
Up to 3 dogs per home
Sign up for Ren's Rewards - FREE to join

CLICK HERE for more information regarding this program

CLICK HERE to learn about Ren's Pets and their locations

First Name

Last Name

Address

Postal Code

Phone Number (No Dash No Space)

Alternate Phone Number

I authorize the Town to release my contact information in the event my dog(s) is/are found

Dog Name

Age

Breed

Dog Info

Male

Female

Colour

Identifying Marks

Microchip/Tattoo No.

Has this dog been deemed a dangerous dog, in accordance with Town of amherstburg By-Law 2022-008?

Yes

Is this a lost tag?

Yes

Add Additional Dog Remove Dog

Confirmation

By checking this box and submitting this form, I confirm the following:

I consent to the collection of my personal information included on this form, for the purpose of administering the Town of Amherstburg dog licensing program.
That there are only a maximum of 3 dogs residing at this residential property.
I confirm that the dog that I am registering is NOT any of the following:

Any dog of the Pit Bull, Staffordshire, Bull Terrier, American Pit Bull, American Staffordshire Terrier or Presa Canario breeds of dog;

Any hybrid dog produced from a breed mentioned in (a) above;

Any crossbreed dogs that possess substantial characteristics of one or more of the dog breeds referred to in (a) above.

I agree with the above

Agree

Personal Assistance Dog - No Fee Required

Personal Assistance Dogs certified by the Canadian National Institute of the Blind/Hearing Impaired and registered with the Hearings of Canada and/or dogs trained as a helper for the physically disabled person or a therapy dog used in an institutional setting:

Personal Assistance Dog

Yes

Prices

Unspayed/Un-neutered Dog:	$30.00
Spayed/Neutered Dog:	$19.00
Transfer/Lost Tag:	$12.00
Late Penalty Fee (after April 30):	$13.00

*Senior rate applicable for those 55+

Any dog ownership transfer must be conducted at Town Hall

Please enter the number of lost dog tags that require replacement

Please enter the number of dogs that are Unspayed or un-neutered

Please enter the number of dogs that are spayed or neutered.

Please check if you qualify for the senior rate (over 55+).

No, I am not 55+ years old.

Yes, I am 55+ years old.

Late Fees are automatically calculated in Total cost.

Total:

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Dog Licensing Application