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2. 
4. DOG LICENSE APPLICATION

   
   

   This form is to be used to license dogs that are not currently licensed in the Town of Brighton. Please note that Brighton Town Code has a limit of three (3) dogs per household address.

   
   

   
   

   You will need to the following information to complete this form:

   ** certificate of Rabies vaccination

   ** certificate of spay/neuter (if applicable)

   
   

   
   

   After we receive the form, we will follow up with a phone call to complete the licensing process by the end of the following business day.

   
   

   
   

   
   

   If you are trying to renew your dog's license, please go back and choose the renewal form.

   
   

6. Owner's First Name*
8. Owner's Last Name*
10. Street Address*
    Rochester, NY
11. Zip Code*
13. Phone Number*
    This should be the best number to reach you at in case Animal Control ever needs to get your dog back home to you.
15. Email Address*
    This should be the best email to reach you at in case Animal Control ever needs to get your dog back back home to you.
17. Breed*
    If a less common mixed breed, please indicate the breed it most resembles.
19. Primary Color*
20. Secondary Color
    If Any
22. Microchip Number
    Microchip Number - If Any
24. Markings
    Does the dog have any unique markings or characteristics?
26. Name of Dog*
28. Gender*

    1. Female
    2. Male
30. Birth Year*
32. Spayed or Neutered*

    1. Yes
    2. No

    * Please note that spaying/neutering is not required, but proof must be submitted via the field below to qualify for the lower license fee.
34. Spay / Neuter Certificate
    Submissions can be in PDF, JPEG or TIFF format.
36. Veterinarian's Office*
    Facility that administered the rabies vaccination
38. Rabies Vaccination Certificate*

    The rabies vaccination certificate MUST include:

    • Vaccine manufacturer
    • Vaccine Serial / Lot number
    • Length of vaccination
    • Date of Vaccination

    
    

    Submissions can be in PDF, JPEG or TIFF format.

40. Fees

    Please note that a Senior License refers to the human as opposed to the dog

    1. Spayed / Neutered - $10.00
    2. Unspayed / Unneutered - $20.00
    3. Spayed / Neutered [SENIOR] - $7.00
    4. Unspayed / Unneutered [SENIOR] - $15.00
44. 
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46. Submit

* indicates a required field