Pet Registration

Pet Registration Form

Must be completed per dog.

* Indicates required field

Name *

First

Last

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Pet Name *

Breed *

Color *

Choose One *

Male Female

Choose One *

Spayed/Neutered $10.00 Not Spayed/Neutered $20.00 My dog is currently under the age of 6months of age. Once my dog is six (6) months of age and has the current rabies vaccination records, I will bring them into Irwin City Hall to obtain a license.

Date dog reaches six months *

Dog License # *

Payment can be dropped off at the City Hall located at 507 Ann Street, Irwin, IA 51446, Mail to: PO Box 7
Tags will be mailed once that is received by City Hall.

Agreement *

I Agree

By typing your full name here, you certify that this takes place as your physical signature. *

Date *

Submit

All applications can be completed by hand if you prefer. Please pick up the form(s) from City Hall. Pet registration form located at the USPS in Irwin.