Animal Limit Registration

"*" indicates required fields

Contact Information

Name*

First Last

Email*

Phone*

Permanent Home Address*

Street Address Address Line 2

Is the property leased or rented?*

Yes

Property Owner Information

Name*

First Last

Address*

Street Address Address Line 2

Phone

Animal Information

Animals

Name	Physical Description	Age	Sex	Spay/Neuter	Actions

There are no Entries.

Vetrinarian(s)

Name	Address	Phone	Actions

There are no Entries.

Vaccination and Veterinarian Affirmation*

I affirm that the animals subject to the registration are current on rabies vaccinations and that the animals receive regular veterinary care.

I affirm vaccinations and veterinary care.

Additional Care

Name	Address	Phone	Actions

There are no Entries.

Terms and Conditions

Terms, Conditions, and Registry Fee*

I have read and agree to the terms and conditions in Chapter 3, Article 1 of the City Code of Lawrence, KS, and agree to pay the $25 registry fee.

I agree to the Terms, Conditions, and Registry Fee.

Hidden

Update/Remove Registration

Registered Name*

First Last

Registered Email*

Registered Phone*

Registered Home Address*

Street Address Address Line 2

Reason for Removal*

Less than the maximum limit (4)

Reside outside the City Limits of Lawrence, KS

Animal Limit Registration

Contact Information

Property Owner Information

Animal Information

Terms and Conditions

Update/Remove Registration

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