Backyard Hens Registration Form

Notice of Collection of Personal Information

Personal information collected on this form is collected for the purpose of processing this application and for administration and enforcement. The personal information is collected under the authority of the Community Charter, the Local Government Act, and the City's bylaws. If you have any questions about this collection, please contact the Freedom of Information Coordinator, City of Kamloops, 7 Victoria Street West, Kamloops BC, V2C 1A2, 250-828-3455.

Hen Owner's Information

First Name:

Last Name:

Street Address:

Postal Code:

Mailing Address (if different from street address):

Phone Number:

Email:

Hen Information

Date of Registration:

Maximum Number of Hens Being Registered:

Minimum of 2 hens, maximum of 5 hens.

Validation

I confirm that I reside at the above-mentioned property

I confirm that I have a coop that is built and ready for inspection.

I confirm that I have read and I understand the City of Kamloops Animal Control Bylaw No. 34.48.

If I am not the property owner, I confirm that I have permission from the property owner to keep hens on the property.

Property Owner's Contact Information (if different from applicant)

Name:

Address:

Phone Number:

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