Register a new dog
* indicates a required field.
Your Details
Name
*
First Name
Middle Name
Last Name
Your Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Postal Address
*
Street Address
Street Address Line 2
City
State / Province
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
State / Province
Postal / Zip Code
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
2 digit day, 2 digit month, 4 digit 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
Enter the message as it's shown
*
Submit
Should be Empty: