Dog Registration Form

To amend any dog registration details, refer to the Dog Registration Amendment Form.

Applicant Details

Given Name *

Surname *

Primary Phone *

Secondary Phone

Email Address *

Receive renewal notice via email? *

YesNo

Postal address: *

Street address or PO Box *

City *

State *

Postcode *

Property address *Address where animals are to be kept

How many animals are you registering? *

Animal Details

Animal Name *

Microchip Number *

Proof of Microchipping *

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Please attach the 'Certificate of Microchipping' provided by your vet. Barcode alone is not acceptable.

Gender *

MaleFemale

Desexed *

YesNo

Proof of Desexing *

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Please attach certificate of sterilisation/desexing

Age/Date of Birth *

Breed *

Colour/Markings *

Animal Details 2

Animal Name *

Microchip Number *

Proof of Microchipping *

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Please attach the 'Certificate of Microchipping' provided by your vet. Barcode alone is not acceptable.

Gender *

MaleFemale

Desexed *

YesNo

Proof of Desexing *

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Please attach the 'Certificate of Sterilisation/Desexing' provided by your vet.

Age/Date of Birth *

Breed *

Colour/Markings *

Animal Details 3

Animal Name *

Microchip Number *

Proof of Microchipping *

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Please attach the 'Certificate of Microchipping' provided by your vet. Barcode alone is not acceptable.

Gender *

MaleFemale

Desexed *

YesNo

Proof of Desexing *

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Please attach the 'Certificate of Sterilisation/Desexing' provided by your vet.

Age/Date of Birth *

Breed *

Colour/Markings *

Concessions

Copies of concession must be provided where applicable

Kennel Club or Canine Association
Must be a current member and proof of membership supplied

Expiry Date

Assistance Dog (Guide/Hearing/Assistance)
Proof of membership must be supplied

Working dog
Completed working dog self assessment form must be supplied.

Proof of Concession

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Please upload relevant documentation.

Regulated Dogs

Restricted Dog
Copy of permit must be supplied

Council where previously kept

Declared Menacing or Dangerous Dog
Copy of declaration must be supplied

Council where declared

Proof of Regulated Dog

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Please upload relevant documentation.

Animal Restrictions and Conditions

The number of dogs allowed to be kept on a property depends on the size of property as per the table below:

Property < 450m2	1 dog allowed
Property > 450m2	2 dogs allowed
Property > 450m2	3 or more dogs allowed with exemption

Please indicate below if your property is over 450m2 and you would like to apply for an exemption.

My property is greater than 450m2 and I would like to apply for an exemption to keep 3 or more dogs. Please complete Approval to Keep Excess Dogs - Initial Application form. Additional fees apply.

Be A Responsible Animal Owner

REMEMBER:

All dogs must be registered with Council from 12 weeks of age.
You must renew your dog's registration every June, failure to renew will result in the issue of a Penalty Infringement Notice
Dogs born after 10 April 2009 must be microchipped
If you are found to be keeping an unregistered dog on your property, you will be in breach of the Animal Management (Cats and Dogs) Act 2008 and a Penalty Infringement Notice may be issued.
An effective enclosure must be maintained to ensure your dog does not stray from the property.
When your dog is not being kept behind a fence, it must be on a leash or tethered to a safe and non-removable object
Your dog must not wander or be able to escape from your property.
Your dog must not bark excessively and cause a nuisance.
You must advise Council within 7 days of change to circumstances:
- Ownership of dog;
- If your dog dies; or
- You move house, change your address or contact details.
Failure to renew your details will result in the issue of a Penalty Infringement Notice.

Dog Registration Fees

New registrations from 1 October onwards will benefit from a pro-rata fee of:

75% 1 October to 31 December
50% 1 January to 31 March
Full fee plus extended registration period from 1 April to 30 June

Council DOES NOT offer refunds on dogs that have left the Shire or are deceased.

Type of Registration	Proof Required	Fee $
Entire Dog	N/A	See Schedule of fees and charges.
Desexed Dog *	Sterilisation Certificate/letter from Vet
Entire Dog owned by a Member of aKennel Club or Canine Association *	Documentation/membership card indicating currentmembership
Assistance Dog *	Documentation indicating Guide/Hearing/Assistance Dog
Working Dog *	Documentation indicating applicant is engage in PrimaryProduction
Puppy (under 6 months old)	N/A
Declared Regulated (Dangerous,Menacing)	As per conditions
Regulated Dog (Restricted)	As per conditions (Registration fee + an initial permit fee -renewal fees apply)

* If you register your dog as an entire dog and during the registration period have the dog desexed, you are entitled to receive the difference in the abovementioned fees, based on a prorate basis (i.e. amount will vary depending on the amount of time lapsed from registration and desexing).

* Supporting documentation must be provided with this application when making payment.For Example: Sterilisation Certificate from Veterinary Surgery, Membership to Clubs/Associations.To be eligible for 'working dogs' status you will need to successfully complete an assessment form.Payments can be made in person during business hours at the following Council Service Centres/Agencies.

Declaration of Applicant

I hereby apply for registration of the animal(s) described and declare that the details are correct to the best of my knowledge.

I am aware that the number of animals kept at this property is in accordance with the allowable number of dogs to be kept on a property as stated in Council's Local Law No 2 (Animal Management) 2018.
If applicant is under the age of 18 years, the parent or guardian is deemed to be the keeper of the animal.
I have a suitable enclosure or adequate fencing to prevent my animal from escaping.

Applicant Signature

Draw signature|Type signatureClear

Animal Management (Cats and Dogs) Act 2008.

Your application will not be finalised until fees have been paid.

Council DOES NOT offer refunds on dogs that have left the Shire or are deceased.

Collection Notice: Mareeba Shire Council is collecting your personal information under the Local Government Act (Qld) in order to process your animal registration form. Your personal information will not be used for any other purpose and will not be disclosed to any other entity or person without your express consent or we are required by law. Your personal information will be handled in accordance with the provisions contained within the Information Privacy Act 2009 (Qld).

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