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2. First Name*
3. Last Name*
5. Address*
7. Apartment Number
8. Street Type
10. City*
11. State*
12. ZIP Code*
14. Phone Number*
15. Alternate Phone Number
17. Is this a new or updated registration?*

    1. New
    2. Updated
18. Livestock Type*

    1. Cattle
    2. Horses
    3. Goats
    4. Donkeys
    5. Other*

    Please check all that apply.

19. Please list all other types of livestock.
21. Is the livestock tagged?*

    1. Yes
    2. No
22. If "yes," what is the color of the tag?
24. Livestock Location*

    Please fill out a separate form for each physical address.

26. Livestock Description*

    Please describe the color patterns, gender, type and any distinguishing marks or characteristics.

28. Is there anyone Barrow County E-911 can contact regarding your livestock in the event you cannot be reached?*

    Please list the name(s) and phone number(s) of any alternate contacts. If none are available, put "N/A".

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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field