Manatee County Animal Welfare

steven.bell@mymanatee.org

5718 21st Avenue West, Bradenton, FL 34209

941-742-5933, ext. 8370

Pet Breeder Application Form

Instructions: Please complete all sections of this application. Incomplete applications will be returned. Attach any required supporting documents. Applications are subject to approval by the Manatee County Animal Welfare Division.

Applicant Information

Business Name (if applicable)

Phone Number (Daytime)

Phone Number (Evening)

Business Information

How many breeding dogs do you have?

How many breeding cats do you have?

Breeding License Number (if applicable)

Describe the Breeding Facility

Type of Structure

Kennel

Cattery

Number of Animal Enclosures

Size of Enclosures (in feet)

Describe ventilation, lighting and sanitation measures:

Regulatory Compliance

Have you been convicted of animal cruelty, neglect or any related crimes?

Yes

Do you comply with all applicable State and local animal welfare laws and regulations?

Yes

Please provide a copy of your current business license, zoning approval (if applicable) and any other documentation required by the County.

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Operational Details

What are your hours of operation for breeding activities?

Do you provide veterinary care for the animals?

Yes

Please provide the phone number of the veterinarian

How do you ensure the health and safety of the animals?

Signature & Affirmation

I, the undersigned, affirm that all the information provided on this application is true and accurate to the best of my knowledge. I agree to comply with all applicable laws and regulations pertaining to the breeding of animals in Manatee County.

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First Name

Last Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.