• Dog Registration

    Application for Certificate of Registration WA Dog Act 1976

  • Use this form for new dog registrations, renewals, transfer of ownership including how to notify the Shire of a change of details to your dog registration details.

  • The Shire of Augusta Margaret River collects your personal information to process this request and deliver Shire services. For details on how your information is managed, see our Collection Notices at www.amrshire.wa.gov.au/privacy/collection-notices.

    This form is hosted by Jotform (US). By submitting, you acknowledge your information will be transferred outside Australia to a recipient subject to equivalent privacy protections.

  • Transfer*
  • Is the dog being transferred from another Local Government?*
  • Date dog transferred out of area*
     - -
  • Date dog deceased*
     - -
  • Details being updated*

  • * Dog registration expiry dates are fixed and always end on 31 October — not from the date of payment. Half-price fees only apply to 1-year registrations after 31 May. This discount does not apply to 3-year or lifetime registrations.

  • The following dog breeds are restricted. This includes any mix of these breeds: American Pit Bull Terrier, Pit Bull Terrier, Fila Brasileiro, Japanese Tosa Dogo and Argentino Presa Canario.

  • Owner Details

  • Owner Date of Birth *
     - -
  • Format: (000) 000-0000.

  • Alternative/Emergency Contact Details

  • Format: (000) 000-0000.

  • Dog Details

  • Sex of dog*
  • Is the dog sterilised (sterilisation certificate must be provided)*
  • Is the dog a restricted breed?*
  • Do you have a consession card (proof must be provided)*
  • Registration Concession Fees*
  • Registration Fees*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Owner Declaration - I declare that

    • I am (or the owner is) over the age of 18 years;
    • The information provided is true and correct to the best of my knowledge;
    • There are means for effectively confining the dog to the premises where the dog will ordinarily be kept;
    • I have not been convicted of an offence under the Dog Act 1976, Cat Act 2011 or Animal Welfare Act 2002 within the past 3 years;
    • I understand that all provisions of the Dog Act 1976 and Shire of Augusta Margaret River Local Laws apply to this application.
    • I understand that dog registration expiry dates are fixed and always end on 31 October — not from the date of payment. Half-price fees only apply to 1-year registrations after 31 May. This discount does not apply to 3-year or lifetime registrations.
  • Should be Empty: