2022 DOG LICENSE APPLICATION
REGISTER ON-LINE AT WINCHESTER.US OR USE FORM BELOW TO MAIL IN A CHECK
All dogs over the age of six months are required to be licensed annually by April 15. Please refer to the Dog Licensing Bylaws on the town website located at https://winchester.town.codes/Code/10
For more information. You may register your dog in person at Town Hall, online, or by mail. Please make checks payable to “Town of Winchester”.
Fee: $ 15 for a neutered/spayed dog; $20 unaltered dog. Please include an up-to-date rabies certificate with your application.
Owner’s Name: _______________________________________________________________
Owner’s Address: _____________________________________________________________
Phone: _________________________Email________________________________________
Veterinarian Name and Phone: __________________________________________________
Dog #1 License Information
Dog’s Name: _______________________________________ Sex: _____________________
Neutered/Spayed: ____________________________ Age: ____________________________
Breed: _______________________________________Color: __________________________
Rabies Expires: ____________________________
Dog #2 License Information
Dog’s Name: _______________________________________ Sex: _____________________
Neutered/Spayed: ____________________________ Age: ____________________________
Breed: _______________________________________Color: __________________________
Rabies Expires: ____________________________
**A penalty of $10 per dog will be assessed for applications received after April 15**
Town Clerk Use Only: Check__________
