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
Hen Information
Minimum of 2 hens, maximum of 5 hens
Property Owner's Contact Information (if different from applicant)