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Dog Tag (Licence) Application Form

Please print the completed form, sign, and return with a cheque or cash payment to one of the following locations:

Breslau Animal Hospital, 2057 Victoria Street North, Unit 3, Breslau
Eldale Vet Clinic, 150 Church Street West, Elmira
Kitchener-Waterloo Humane Society, 250 Riverbend Drive, Kitchener
Pet Valu, 315 Arthur Street South, Elmira

Debit payment is available at the following locations:

Township Administration Office, 24 Church Street West, Elmira
Woolwich Memorial Centre, 24 Snyder Avenue South, Elmira
Breslau Community Centre, 100 Andover Drive, Breslau (during business hours)

You may also mail a copy of your dog tag application form with a cheque for payment to:

Corporate Services
Township of Woolwich
24 Church Street West
P.O. Box 158
Elmira, ON N3B 2Z6

Cheques should be made payable to the Township of Woolwich. Township Staff will register your animal and send your dogs tag(s) by mail.

Dog Tag Purchase Fees (per dog)

Neutered/Spayed, purchased before March 1 - $26.00
Non-Neutered/Spayed, purchased before March 1 - $37.00
Replacement Tag - $5.00
Service Dog - $0.00 (with documentation)

Dog tags expire annually on December 31. Residents who own dogs have until March 1 of each year to purchase a dog tag or to update their information. If a renewal application is not received by March 1, a reminder letter will be sent by mail stating any outstanding balances. If an outstanding balance remains after April 15, the outstanding balance will be added to the tax roll with an administration fee of $15.00.

Name

Address

Phone Number (Daytime)

Email Address

How many dogs are you registering?

Dog 1 - Name

Dog 1 - Sex

Dog 1 - Breed

Dog 1 - Colour

Spayed or Neutered?

Yes

New Tag Number (Office Use Only)

I authorize the Township to release my telephone number to the finder of my dog(s), if found

I authorize the Township to release my address to the finder of my dog(s), if found

The Township of Woolwich Animal Control By-law requires that every dog must wear a dog tag when off of the property of the owner of the dog and have an up-to-date rabies vaccination. Dog tags expire on December 31^st of each year.

Signature

Clear

Date

Notice of Collection:

The collection of this information is being done under the authority of the Municipal Act, 2001, S.O. 2001c.25, pursuant to Sections 10 and 11, for the purpose of enforcing the Animal Control By-law. Should you have any questions about the collection or retention of this information, please contact the Corporate Services department at 519-669-6000. This information may be provided to a third party for the purpose of animal control services as well as Humane Societies.

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