Register your Dog or Cat | Shire of Cranbrook

Animal Owners Full Name *

Address *

Address

City

State/Province

Zip/Postal

Address

Postal Address (If different from above)

Email *

Phone *

Owner Date of Birth *

Emergency contact name

Emergency contact phone

Animal's name *

Animal's age *

Animal Gender *

Breed *

Colouring/Markings *

Address Animal Will Reside *

Address Animal Will Reside

City

State/Province

Zip/Postal

Address Animal Will Reside

Number of Dogs/Cats Kept at Identified Premises *

Will the animal be effectively confined on or at the premises identified? *

Yes

No

Is the animal sterilised? Please attach sterilisation certificate *

Yes

No

Sterilisation Certificate

Maximum file size: 268.44MB

Microchip Number (must be 15 digit number) *

Microchip Database Company *

Is the dog kept as a security dog? *

Yes

No

Has the dog been declared as a dangerous dog? *

Yes, Please provide detailsYes, Please provide details

No

Is the dog a Pit Bull, American Pit Bull or mix of one or both of these breeds? *

Yes

No

Is the dog kept for the purposes of the Crown? (if yes, note the Dog Act 1976 does not apply) *

Yes

No

Are you eligible for a concession? Please Select *

Registration period *

File Upload - Working Dog Statutory Declaration, Concession Card, Assistance Dog Authorisation Card

Maximum file size: 268.44MB

Do you have convictions for offences against the Dog Act 1976, Cat Act 2011 or Animal Welfare Act 2002 in the past 3 years? *

Yes, Please give details, Specifying the date of convition(s), nature of the offence and the legislation involved.Yes, Please give details, Specifying the date of convition(s), nature of the offence and the legislation involved.

No

Are you currently banned, or have you ever been banned from owning or keeping a dog under the Dog Act 1976 section 46A(2) either permanently or for a period specified in the order? *

Yes, Please give details of the order.Yes, Please give details of the order.

No

I declare that the above information is true and correct. *

I Agree

Phone

Email

Postal Address

Office Hours

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