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Animal Control Registration Form

  1. Pet Registration top text

  2. Enter Owner's First Name

  3. Enter Owner's Last Name

  4. Enter Street Address and Apt. Number if Applicable

  5. City

  6. Zip Code

  7. Primary Phone

  8. Alternate Phone

  9. Your Email Address

  10. Your Forever Friend's Information

  11. Enter Breed

  12. Enter Pets Age

  13. Enter any Description/Markings

  14. Enter Pet's Name

  15. Enter Clinic Name

  16. Enter Microchip Number

  17. Enter Rabies Tag Number

  18. Pet Registration bottom text

  19. Leave This Blank:

  20. This field is not part of the form submission.