Owner's Name *

Owner's Address *

Bruce Mines, ON
P0R 1C0

Email

Phone

Name of Dog *

Breed of Dog *

Gender *

Female Spayed     Female Intact     Male Neutered     Male Intact

Colour *

Age *

Rabies Vaccine Number *

A valid copy of Rabies Vaccine Certificate must be submitted with application. Attach a .pdf, .jpg or .png below

This licence is issued to the owner herein described, subject to the provisions of the Municipal Act and to the bylaws of the municipality and will continue to be in force until March 31, 2024 and no longer. The information on this licence is collected under the authority of Municipal Act, R.S.O. 1990, c.M.45, s. 210 par. 11 and will be used for the dog licencing and animal control records of the municipality. For further information, please contact the municipal clerk.

Dog licence fees: $5.00 for spayed or neutered $25.00 for intact dogs
This form will be submitted to the office and your tag(s) will be waiting for you to pick up when you pay your fee. Thank you.