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Animal License Application

  1. Village of Channahon official letterhead. Reads: Village of Channahon. Image: Channahon logo.
  2. Animal License Application
  3. The Village of Channahon requires that all dogs and cats be licensed with the Village. This tag is to be renewed annually. Please provide your proof of rabies receipt from your veterinary clinic. You may also provide a photo of your pet to add to our database if you wish. Proof of rabies receipts and photos can be uploaded via this form or sent to mmazintas@channahon.org.
  4. Pet Owner Information
  5. Pet #1 Information
  6. Spayed/Neutered?*
  7. Please upload proof of your pet's rabies vaccination. If you prefer, you may also email a copy to mmazintas@channahon.org.

  8. If you wish, you may upload a photo of your pet to be included in our database. If you prefer, you may also email a photo to mmazintas@channahon.org.

  9. Pet #2 Information
  10. Spayed/Neutered?
  11. Please upload proof of your pet's rabies vaccination. If you prefer, you may also email a copy to mmazintas@channahon.org

  12. If you wish, you may upload a photo of your pet to be included in our database. If you prefer, you may also email a photo to mmazintas@channahon.org

  13. Pet #3 Information
  14. Spayed/Neutered?
  15. Please upload proof of your pet's rabies vaccination. If you prefer, you may also email a copy to mmazintas@channahon.org

  16. If you wish, you may upload a photo of your pet to be included in our database. If you prefer, you may also email a photo to mmazintas@channahon.org.

  17. Pet #4 Information
  18. Spayed/Neutered?
  19. Please upload proof of your pet's rabies vaccination. If you prefer, you may also email a copy to mmazintas@channahon.org.

  20. If you wish, you may upload a photo of your pet to be included in our database. If you prefer, you may also email a photo to mmazintas@channahon.org

  21. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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