dog license application - kennel - Gloucester County Virginia

LIST OF DOGS IN KENNEL1)2)Name of Dog Breed/Color SexRabiesExpirationDateVeterinarianon RabiesCertificate3)4)5)6)7)8)9)10)11)12)13)14)15)16)17)18)19)20)For kennels having more than 20 dogs, complete the back of additional forms as needed.