City of Staord
Animal Control Division
Pet Registraon Form
OWNER / PET INFORMATION:
Date: _________________________
Owner Name: _______________________________________________________
Street Address: ______________________________________________________
City, State, Zip: ______________________________________________________
Home Phone: _____________________ Cell Phone: _____________________
Pet Name: _____________________ Species: _______________________
Breed: ______________________ Color: _________________________
Sex: _______________ Age: _____________ Weight: ________________
RABIES VACCINATION:
Clinic Name: ________________________________________________________
Rabies Tag #: ____________________________ Expires: ____________________
Contact # for Clinic: __________________________________________________
CITY OF STAFFORD TAG INFORMATION:
Tag #: _______________________
Issue Date: _________________ Expiraon Date: _________________
FEES:
City Registraon $2.00
Kennel Fees $7.50 / day