Register a new dog

Register a new dog
* indicates a required field.
Your Details
Name *

First Name Middle Name Last Name
Your Date of Birth *

Day Month Year
Date
Postal Address *

Street Address

Street Address Line 2

City

Postal / Zip Code
Contact Phone Number *
Mobile or Home phone
Email Address *
example@example.com
Your Dog's Details
Dog Name *
The Address where your Dog is Kept *

Street Address

Street Address Line 2

City
My Dog is Desexed *

Yes No
Desexing Certificate

Browse Files
Please make sure you upload the certificate from the VET or we will not be able to process your changes. Cancel of
My Dog is Microchipped *

Yes No
Microchip Number
Sex *

Male Female
Breed *
Colours *
Distinguishing Marks
Dog's Date of Birth *

Day Month Year
Date
My Dog is a Working Dog *

Yes No
Choose which Type of Working Dog

Stock droving (kept mainly for the purpose of working stock) Other working dog
Stock droving dogs are not required to be microchipped.
What Type of Work does your Dog do?
Is your dog currently registered in another District? If so, please provide your dog's most recent tag number
Tag number
Anything else we should know?
I hereby confirm that the above information is correct. *

Yes
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Your Details