Dog Registration Form

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This form is for new registrations only (renewal notices are sent out by the Town as required each year).

Please note that if you select a 1 year payment this expires on 31 October of that year. Renewals will be sent prior to the expiry. One year registrations made after 31 May pay half the standard fee.

All dogs over the age of three months must be:

Microchipped
Registered with the Town of Claremont
Wear a registration tag in public places

Standard Fees - Sterilised

Description	Cost	Pensioner Concession Cost
1 year	$20	$10
3 years	$42.50	$21.50
Lifetime	$100	$50
1 Year registration made 31st May-1st November	$10

Standard Fees - Unsterilised

Description	Cost	Pensioner Concession Cost
1 year	$50	$25
3 years	$120	$60
Lifetime	$250	$125
1 Year registration made 31st May-1st November	$25

Owners First Name *

Owners surname *

Street address *

Suburb *

Postcode *

Owners Date of Birth *

Owners contact number *

Owners email address

Alternative Contact Name

Residential address

Contact Number

Email address

Dog's name *

Breed(s) *

Breed(s)

Age or Date of Birth *

Microchip Number *

Please provide proof of Microchip number *

Address where the dog will primarily be kept *

I am not, or the Owner is not, under eighteen years of age. The Town of Claremont may refuse an application if any or all of the required information is not provided within the time period required. *

The information provided is true and correct. I am aware it is an offence to provide false information. *

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Dog Registration Form

Included on this page

Standard Fees - Sterilised

Standard Fees - Unsterilised