I hereby apply for a dog licence in accordance with the information provided and declare that the statements are true and correct. If granted a licence, I agree to comply with all relevant bylaws currently in effect or that may come into effect in the District of Port Edward.

The personal information submitted in this form is collected in accordance with Section 26 (c, d, e) of the British Columbia Freedom of Information and Protection of Privacy Act (FOIPPA) (the “Act”) and will be used for the purpose of "Dog Licence Application". Please be advised that the District of Port Edward is a "public body" as defined in the Act. Questions about the collection, use and disclosure of this information can be directed to the District of Port Edward’s Corporate Office at 250-628-3667 or .