Pet registration 1Introduction2Pet address and name3Pet details4Documentation5Personal details6Review HiddenisFL(Hidden) HiddenuniqueReferenceNumberHidden You can use this form to: Register a single pet (if you have more than one pet to register, you will need to complete a new form for each pet). To complete this form you will need to: tell us your name, residential address, email address and phone numbertell us your pet’s age, gender, breed, pet ID tag (if known)provide an electronic copy of your pet's Certificate of Identification that includes the pet's name, breed, colour, gender and the microchip numberprovide your pensioner concession number (if applicable)Read the City of Boroondara Privacy Statementensure all questions are answered unless they are marked '(Optional)' Fees Fees vary depending on if your pet is desexed, or if you are a pensioner. Credit card surcharge: 1.14% – Visa or Mastercard credit card. 0.88% – American Express credit card. There is no fee for PayPal transactions. With your information we will: send you an email confirming your applicationorganise for your pet's ID tag to be sent to the postal addressupdate your details on our customer databasescontact you regarding your application if required What happens with your information? We record your information on our customer database and make it available to relevant Council staff in line with City of Boroondara’s Privacy Statement. The contact details you provide to Council may be used by Council to contact you in relation to other Council functions and services. You are logged in as: * Required How are you servicing the customer? * RequiredPhoneCounterLetterEmailFacebookTwitterFaxAfter hours serviceSwitch to a different user Pet address and namePet's address * Required Please begin entering the street address, then select the full address from the drop-down list. HiddenpropertyPandRIdHiddenproperty HiddencrmPropertyIdHidden HiddensuburbNameHiddensuburb name HiddenpostcodeHidden What is your pet's name? * Required Pet detailsWhat type of pet is ? * Required Cat Dog HiddencatCountHiddenExcess cat warningOur records indicate that there are two or more cats already registered at this address, you can continue your registration and council will contact you to confirm total amount of registered pets and whether an excess animal permit will be required. HiddendogCountHiddenExcess dog warningOur records indicate that there are two or more dogs already registered at this address, you can continue your registration and council will contact you to confirm total amount of registered pets and whether an excess animal permit will be required. What breed is ? * RequiredStart typing the breed of your pet to narrow the search results. HiddenSecondary breed Breed declaration * RequiredI declare that I have correctly identified 's breed and understand that a person who in any application makes a false statement to avoid identifying a restricted breed shall be guilty of an offence for which up to 10 penalty units apply. Restricted breeds are as follows: full or cross-bred American Pit Bull Terrier (or Pit Bull Terrier), Pit Bull crossbreeds, Perro de Presa Canario (or Presa Canario), Dogo Argentino, Japanese Tosa and Fila Brasileiro. I agree Restricted dog breeds can be registered with Council, but conditions apply. Please review the details and the breeds listed on the Restricted breeds page. Restricted breeds include pure and cross bred: American Pit Bull Terriers (or Pit Bull Terriers); Perro de Presa Canarios (or Presa Canario ); Dogo Argentinos; Japanese Tosas; and Fila Brasileiros. Warning: If you falsely state your dog’s breed and it is restricted, this is an offence and will incur up to 10 penalty units ($1,000) and further enforcement action may apply.What colour is ? * Required When was born? - must be dd/mm/yyyy format * RequiredIf you are not sure, please provide an estimate DD slash MM slash YYYY HiddenHow old is ? * RequiredPlease answer in years to nearest yearHiddenoverTenHidden00000000000000000000111111111111111111111What gender is ? * Required Male Female Do you have a registered pet with us who has passed away or moved outside of Boroondara? * Required Yes No Pet deregistration detailsYou indicated a pet has passed away or no longer lives in Boroondara. Please tell us about that pet so we can update our records.My pet's name is/was * Required Tag ID or Animal ID My pet is/was a * Required Cat Dog What gender is/was your pet? * Required Male Female BreedStart typing the breed of your pet to narrow the search results. My pet has Passed away Moved to another home in Boroondara Moved outside Boroondara We are sorry to hear about 's passing. Do you have another pet you would like to deregister? * Required Yes No Second pet deregistrationYou indicated a pet has passed away or no longer lives in Boroondara. Please tell us about that pet so we can update our records.My pet's name is/was * Required Tag ID or Animal ID My pet is/was a * Required Cat Dog What gender is/was your pet? * Required Male Female BreedStart typing the breed of your pet to narrow the search results. My pet has Passed away Moved to another home in Boroondara Moved outside Boroondara We are sorry to hear about 's passing.Do you have another pet you would like to deregister? * Required Yes No Third pet deregistration detailsYou indicated a pet has passed away or no longer lives in Boroondara. Please tell us about that pet so we can update our records.My pet's name is/was * Required Tag ID or Animal ID My pet is/was a * Required Cat Dog What gender is your pet? * Required Male Female BreedStart typing the breed of your pet to narrow the search results. My pet has Passed away Moved to another home in Boroondara Moved outside Boroondara We are sorry to hear about 's passing. DocumentationWhat is 's microchip number? * Required Upload 's Certificate of Identification * RequiredThis needs to show your pet's name, breed, colour, gender and microchip number. The barcode alone is not sufficient detail. Upload 1 PDF, JPG, PNG, DOC or DOCX up to 10MB. Drop files here or Select files Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 10 MB, Max. files: 1. Maximum file size - 10 mega bytes. Microchip documentation sighted * RequiredAs a customer service officer, I have sighted the customers microchip documentation and confirmed that the microchip number entered matches the paperwork. I agree Is desexed? * Required Yes No Unsure Upload 's desexing certificate * RequiredUpload your pet’s desexing certificate from the vet or shelter, showing your pet's name, breed and microchip number. Upload 1 PDF, JPG, PNG, DOC or DOCX up to 5MB. Drop files here or Select files Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 5 MB, Max. files: 1. Maximum file size - 5 mega bytes. Is currently registered at another Victorian council? * Required Yes No Which council is registered in? * RequiredPlease selectAlpine ShireArarat Rural CityBallarat CityBanyule CityBass Coast ShireBaw Baw ShireBayside CityBenalla Rural CityBrimbank CityBuloke ShireCampaspe ShireCardinia ShireCasey CityCentral Goldfields ShireColac Otway ShireCorangamite ShireDarebin CityEast Gippsland ShireFrankston CityGannawarra ShireGlen Eira CityGlenelg ShireGolden Plains ShireGreater Bendigo CityGreater Dandenong CityGreater Geelong CityGreater Shepparton CityHepburn ShireHindmarsh ShireHobsons Bay CityHorsham Rural CityHume CityIndigo ShireKingston CityKnox CityLatrobe CityLoddon ShireMacedon Ranges ShireManningham CityMansfield ShireMaribyrnong CityMaroondah CityMelbourne CityMelton CityMildura Rural CityMitchell ShireMoira ShireMonash CityMoonee Valley CityMoorabool ShireMoreland CityMornington Peninsula ShireMount Alexander ShireMoyne ShireMurrindindi ShireNillumbik ShireNorthern Grampians ShirePort Phillip CityPyrenees ShireBorough of QueenscliffeSouth Gippsland ShireSouthern Grampians ShireStonnington CityStrathbogie ShireSurf Coast ShireSwan Hill Rural CityTowong ShireWangaratta Rural CityWarrnambool CityWellington ShireWest Wimmera ShireWhitehorse CityWhittlesea CityWodonga CityWyndham CityYarra CityYarra Ranges ShireYarriambiack ShireGood newsOur team will contact {previous_council:234} Council and if a valid registration is found, we will transfer it for you free of charge.Is declared menacing? * RequiredA dog might be declared menacing if it: 'rushes' at a person - this means the dog comes within 3m of the person while displaying aggressive signs such as snarling, growling or raised hackles causes a non-serious bite to a person or animal has been declared a menacing dog by another council. Yes No Is declared dangerous? * RequiredA dog might be declared dangerous if it: has caused serious injury to a person or animal by biting or attackingis kept as a guard dog or has been trained to attack people or animalsis declared a menacing dog and its owner has received at least 2 infringement notices for the dog not being leashed and/or muzzled in a public placehas been declared a dangerous dog by another council. Yes No Is obedience trained? * Required is considered obedience trained if he/she has been issued with an official 'Dog Obedience Certificate' by a dog trainer who is a member of one of the following organisations: DOGS Australian Association of Professional Dog Trainers The Gentle Dog Trainers Association Four PawsK9 Training Yes No Is registered with an applicable organisation? * RequiredApplicable organisations include: Dogs VictoriaGreyhound Racing VictoriaAustralian National Cats IncFeline Control Council (Victoria) INCThe Governing Council of the Cat Fancy Australia and Victoria Inc. Yes No Is a: * Required None of the below Guide dog Customs dog Police dog Assistance dog Upload proof of being a guide dog, customs dog, police dog or assistance dog. * Required Upload 1 PDF, JPG, PNG, DOC or DOCX up to 5MB. Drop files here or Select files Accepted file types: jpg, jpeg, gif, png, pdf, doc, docx, Max. file size: 5 MB, Max. files: 1. Maximum file size - 5 mega bytes. Do you have a pensioner card? * Required Yes No Please enter your pensioner card number * Required Personal detailsFirst name * Required Last name * Required Email address * Required Email addressIf the customer does not have an email address you may leave this empty. Phone type * RequiredMobileLandlineYour phone number * Required SMS confirmation I would like to receive a confirmation SMS upon form completion Mailing address My postal address is the same as my residential address Postal address * Required Street address or PO Box Suburb / City State Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Post Code HiddenqualifierHiddenq1 = cat or dog q2 = domestic, work or dangerous q3 = yes or no, pet is less than 2 years or no or unsure (desexed) q4 = yes or no (pensioner) q5 = yes or no (further discount -trained, club, age) Hiddenproduct_code HiddenGST $0.00 Price Hiddentran_type Total $0.00 HiddenTest Date Review your informationPlease review your information. If you notice errors please use the 'previous' button to make changes.Pursuant to Section 97 Domestic Animals Act 1994, you acknowledge it is an offence when making an application under this Act, to give false information and liable to a fine of 5 penalty Units. If you agree that all information on this application is true and correct, please click the 'Submit' button to complete this form. {all_fields:exclude[27,99,94,93,206,82,83,105,84,85,175,176,159,179,116,180,219,193,198,194,224,195,215,207,221,222,17]} Privacy policy After you submit this form, we'll store your information in our customer database so that we can carry out and respond to your requests and provide you with information and services that are relevant to you. See our Privacy Statement to find out more. Please note: After you click ‘Submit’ you will be taken to a secure payment page. If you choose to pay by Credit Card, you will be charged a Credit Card surcharge fee. If you choose to pay using a debit card or PayPal, no surcharge will be added to the payment. For more information on fees and charges, visit our Payments page.EmailThis field is for validation purposes and should be left unchanged.
