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Pet Registration Form
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Pet Registration Form
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OWNERS DETAILS
All dogs and cats three months of age or older must be registered. The owner of a dog or cat who fails to register his/her animal may be liable to an on-the-spot fine for each unregistered animal. A child’s dog or cat must be registered in the parent’s or guardian’s name.
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
Postcode
Home phone
Work phone
Mobile phone
Email
(Required)
Address where animal is kept
(Required)
Street Address
Address Line 2
City
Postcode
if different from above
Assessment number
Are you the property owner?
(Required)
Yes
No
Pension card number
Health care card not eligible
Expiry
Consent
(Required)
I agree
I declare that the dog(s) identified in this application have been correctly indicated as to whether they are, or are not, of a restricted breed. (Restricted breeds are as follows – a Pitbull Terrier or American Pitbull Terrier, Fila Brasileiro, Dogo Argentino, Japanese Tosa or Perro de Presa Canario). I declare that, to the best of my knowledge and belief, all the above information is true and correct.
Signature
(Required)
Emergency Contact
Name
(Required)
First
Last
Contact number
Animal(s) Details
Legislation prevents Council from registering your animal unless it is microchipped
Animal 1 type
(Required)
Dog
Cat
Animal 1 sex
(Required)
Male
Female
Animal 1 desexed?
(Required)
Yes
No
Breed
(Required)
Colour/Marks
(Required)
Animal’s Name
(Required)
Microchip Number
Age of Animal
or Date of Birth
Animal 2 type
Dog
Cat
Animal 2 sex
(Required)
Male
Female
Animal 2 desexed?
(Required)
Yes
No
Breed
Colour/Marks
Animal’s Name
Microchip Number
Age of Animal
or Date of Birth
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