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Dog License Application

  1. (xxx) xxx-xxxx

  2. Type of licence: *

  3. Dog #1

  4. Spayed or Neutered?: *

  5. Male/Female?:*

  6. Dog #2

  7. Spayed or Neutered?:

  8. Male/Female?:

  9. Dog #3

  10. Spayed or Neutered?

  11. Male/Female?:

  12. I CERTIFY THAT MY DOG(S) QUALIFY FOR THE LICENCE FEES AS INDICATED:

  13. Type your name

  14. Payment Options:*

  15. Please print your form and mail/drop off with cheque payment to the City of Chestermere Municipal Office at: 105 Marina Road Chestermere, AB T1X 1V7 There is a letter-drop box located at the south entrance of the municipal building.

  16. Credit Card payments can be taken over the phone, please submit your form using the 'submit' button below and call (403) 207-7050 - you will be asked to provide your card details. We do not store your credit card number online. Otherwise, please print your form and bring it with you to the Chestermere Municipal Office (105 Marina Road) to pay by cash, debit or credit.

  17. Thank you

    This personal information is being collected for activities related to applying for applying for, tracking, and issuing dog licences for the City of Chestermere, and as such is deemed to be an activity of the City of Chestermere. The personal information is collected under the authority of Section 33(1)c of the Freedom of Information and Protection of Privacy Act, and will be used only for the purpose identified. If you have any questions or concerns about the collection or use of information you may contact the FOIP Coordinator at 105 Marina Road, Chestermere, AB T1X 1V7 or call (403) 207-7050.

  18. Leave This Blank:

  19. This field is not part of the form submission.