PLEASE NOTE:  Fridley City Code mandates that all dogs over the age of six months be licensed and vaccinated against rabies.

The license tag must be affixed to the dog’s collar.  Dogs and cats must be leashed unless they are confined in their owner’s yard.

PLEASE PRINT

OWNER’S NAME                                                 ADDRESS                                                            PHONE

PET’S NAME                                        BREED                 SEX             AGE                                   WEIGHT

PLEASE RETURN THIS FORM ALONG WITH THE $5.00 PET FEE & PROOF OF VACCINATION TO:

CITY OF FRIDLEY ~ DOG LICENSE ~ 6431 UNIVERSITY AV NE ~ FRIDLEY, MN  55432