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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 $20)Other
19. Breed and color*
21. Female/Male*
    -- Select One --FemaleMale
22. Is this pet spayed/neutered?*
    -- Select One --yes ($10 annual license fee)no ($25 annual license fee)
24. Pet 2 Name
25. Type of Pet
    -- Select One --DogCatChickens (renewal only $20)
26. Breed and color
28. Female/Male
    -- Select One --FemaleMale
29. Is this pet spayed/neutered?
    -- Select One --yes ($10 annual license fee)no ($25 annual license fee)
31. Pet 3 Name
32. Type of Pet
    -- Select One --DogCatChickens
33. Breed and color
35. Female/Male
    -- Select One --FemaleMale
36. Is this pet spayed/neutered?
    -- Select One --yes ($10 annual license fee)no ($25 annual license fee)
38. Pet 4 Name
39. Type of Pet
    -- Select One --DogCatChickens
40. Breed and color
42. Female/Male
    -- Select One --FemaleMale
43. Is this pet spayed/neutered?
    -- Select One --yes ($10 annual license fee)no ($25 annual license fee)chickens ($20 renewal fee)
45. Please upload a copy of applicable pet's vaccination records
47. Pet 1
48. Pet 2
49. Pet 3
50. Pet 4
52. You may also have your veterinarian fax a copy of your records to 913-722-3713.
54. 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.
56. To apply to keep backyard chickens, please contact City Hall at 913-722-2600 for more information.
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58. 1. Receive an email copy of this form.
59. Email address

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60. Submit

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