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Owner Information
Name: ________________________________________________________________________________
Address: ______________________________________________________________________________
______________________________________________________________________________
Phone #: ______________________________________________________________________________
Dog Information
Name: ________________________________________________________________________________
Breed: _________________________________________________ Sex: __________________________
Color: ________________________________________________________________________________
Age (if under one year old): _______________________________________________________________
Rabies Expiration Date: __________________________________________________________________
Spayed or Neutered (Yes or No): ___________________________________________________________
Check List (you must include the following information): ____ Copy of Rabies Certificate (must span the entire license period - July 1 through May 31)
____ Copy of Certificate of Sterility (if your dog has been altered, proof must be included)
____ Check or Money Order (payable to San Gabriel Valley Humane Society)
$20 One Year Altered/Sterilized $40 One Year Unaltered/Unsterlized
A 50% Late Fee and Penalty will be assessed on licenses renewed after August 31st.
Mail to San Gabriel Valley Humane Society, 851 E. Grand Ave, San Gabriel CA 91776 |
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Licensing >
Dog License Form - City of San Gabriel Residents ONLY |