Online Form - Online Dog Registration

Dog's Name *

Breed *

How old is the dog, in years and months? (For example, 4 years 2 months) *

Colour *

Gender *

Is this dog sterilised? *

YesNo

Is the dog currently registered in another Local Government Area? If yes, please upload a current certificate of registration below *

YesNo

Please upload a certificate of registration if you answered yes to the above question

Please upload a copy of your microchip registration details *

Please input your microchip number

Please upload proof of sterilisation (if no proof is uploaded, un-sterilized price will be charged)

Please describe any distinguishing features your dog has (for example, a unique birthmark)

Address where the dog is normally kept

How many dogs are on the premises in total, including this one?

Is the dog kept for purposes of the crown? (If yes, note the Dog Act 1976 does not apply section 6 (4))

YesNo

Will the dog be effectively confined in or at the premises listed in this application?

YesNo

Has the dog been declared dangerous, or is it a restricted breed? *

YesNo

Is the dog a pit bull terrier, an American Pit Bull Terrier or a mix of one or both of those breeds? *

YesNo

Owner Details