New License

* Required Fields

*License Type

-- Please Select --New Registration - dog owned more than 30 days +$24.00Puppy - 3 months old in last 30 days New Registration - dog owned less than 30 days

*Dog's Name

*Breed

*Age Years

-- Please Select --0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

*Age Months

-- Please Select --0 1 2 3 4 5 6 7 8 9 10 11

*Sex

-- Please Select --Male Female

*Color

• AP - Apricot
• BD - Brindle
• BL - Black
• BN - Blonde
• BR - Brown
• BU - Blue
• GR - Grey
• LI - Liver
• OR - Orange
• RD - Red
• SA - Sable
• TN - Tan
• WH - White
• YL - Yellow

*Hair

-- Please Select --Short Medium Long

*Optional Donation to Clark County, c/o Clark County Dog Shelter

-- Please Select --No Donation $1.00 Donation +$1.00$5.00 Donation +$5.00$10.00 Donation +$10.00$25.00 Donation +$25.00$50.00 Donation +$50.00$100.00 Donation +$100.00