Winnipeg Animal Services/Services aux animaux

Notification Statement:

The collection of personal information on this application form is for the purpose of issuing, renewing and administering the Pet License Program and the Responsible Pet Ownership By-law. Collection is authorized by clauses 36(1) and 44(1)(a) of The Freedom of Information and Protection of Privacy Act (FIPPA). If your pet becomes lost, your personal information may be shared with area animal shelters and veterinary clinics so that you can be notified if your pet is found. The collection, use and disclosure of this information is protected by FIPPA. If you have any questions about the collection, use or disclosure of this information, contact 311 or call toll free 1-877-311-4974 (4WPG).

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All fields marked with a * must be completed.
Tax receipts are issued for donations of $10.00 or more. Tax receipts are issued in the name of the donor only.
 Section 1: Donor information
Surname: *
First Name: *
Middle Initial:
Email Address: *
Home Address:
House Number: *
Suite/Unit Number:
Street Name: *
Street Type: *
Street Direction:
City: *
Province: *
Postal Code: *
Postal Code:
Donation Made in Memory of: ( ) Name:
Donation Made in Honour of: ( ) Name:
Sponsor a Kennel
($200 a year):
Enter information for Plaque:

(Max 66 Characters)
Letter of Acknowledgement to be sent to:
Salutation: (e.g. Mr., Mrs., Ms, etc.)
Surname:
First Name:
House Number:
Suite/Unit Number:
Street Name:
Street Type:
Street Direction:
City:
Province:
Postal Code: