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2. All dogs and cats over six months of age must be licensed annually with the City. A current certificate of immunization against rabies must be provided at the time of licensing and renewals. To apply for a special permit to keep more than two dogs and/or two cats, please contact City Hall at 913-722-2600 for more information. To apply to keep backyard chickens, please contact City Hall at 913-722-2600 for more information.
4. Owner Name*
6. Address*
7. City
9. State
10. Zip Code
12. Phone Number*
13. Email Address*
15. Veterinarian Name:
17. Pet 1 Name*
18. Type of Pet*
    -- Select One --DogCatChickens (renewal only $20)
19. Is this pet spayed/neutered?*
    -- Select One --yes ($10 annual license fee)no ($25 annual license fee)
20. Breed and color*
22. Pet 2 Name
23. Type of Pet
    -- Select One --DogCatChickens (renewal only $20)
24. Is this pet spayed/neutered?
    -- Select One --yes ($10 annual license fee)no ($25 annual license fee)
25. Breed and color
27. Pet 3 Name
28. Type of Pet
    -- Select One --DogCatChickens
29. Is this pet spayed/neutered?
    -- Select One --yes ($10 annual license fee)no ($25 annual license fee)
30. Breed and color
32. Pet 4 Name
33. Type of Pet
    -- Select One --DogCatChickens
34. Is this pet spayed/neutered?
    -- Select One --yes ($10 annual license fee)no ($25 annual license fee)chickens ($20 renewal fee)
35. Breed and color
37. Please upload a copy of applicable pet's vaccination records
39. Pet 1
40. Pet 2
41. Pet 3
42. Pet 4
44. You may also have your veterinarian fax a copy of your records to 913-722-3713.
46. To apply for a special permit to keep more than two dogs and/or two cats, please contact City Hall at 913-722-2600 for more information.
48. To apply to keep backyard chickens, please contact City Hall at 913-722-2600 for more information.
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49. 1. Receive an email copy of this form.
50. Email address

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51. Submit

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