Dog Registration Application

*- indicates required field.

Please complete this application to register your dog/s after reading the Notes and Conditions for Dog Registration page on our website. You will be required to indicate that you have read and accept the conditions before you can submit your application. The Notes can be found on our website at Notes and conditions for Dog Registration.

After you have submitted your application Council will contact you with the amount you need to pay and ways to make payment before your dog's registration is issued.

Dog registration fees (on or before/after 1 August) are:

Entire dog: $110.00/$165.00

Neutered dog: $55.00/82.50

Working dog: $40.00/$60.00

Certified disability assist dog: $15.00/15.00

Microchipping: $25.00

Owner details

Owners full name: *

Date of birth *

Required under the Dog Control Act 1996

Address where dog normally kept: *

Include rural delivery (RD) number, if applicable

Postal address (if different): (optional)

Home phone: (optional)

This may be the same as your mobile number.

Work phone: (optional)

Mobile phone: (optional)

Your email: *

Dog details

Dog's name *

Age *

Breed *

If you are unsure please put mixed breed.

Colour (optional)

Distinguishing marks (optional)

Microchip number (optional)

(Vet certificate required. Please upload a copy with your application.)

Sex *

Desexed *

Dangerous dog? *

Menacing dog? *

Purpose *

Information for Hunting/Working dog owners

* At the Ordinary Council meeting on 23 April 2019, Council resolved that hunting dogs that are kept solely or principally for the purposes of hunting game by a person undertaking legal hunting activities, and that have completed avian awareness and aversion training, be declared to be working dogs for the purposes of the Dog Control Act 1996. Owners must complete a ‘declaration of hunting dog’ or ‘declaration of working dog’ form. Contact Council if you require either of these forms.

Information for owners of multiple dogs

Note: clause 11 of the Ōpōtiki District Council Dog Control Bylaw 2008 places a limit on the number of dogs on a premises. If you live in a Residential Zone, Mixed Activity Zone, Ōhiwa Harbour Zone, or Coastal Settlement Zone and want to keep more than two dogs older than three months, complete an ‘application for licence to keep more than two dogs’ form. There are no limits in the Rural Zone or Coastal Zone. Contact Council to request this form if required.

Certificates and forms

Upload your certificate for microchipping here if required: (optional)

Upload

(pdf, doc, docx, txt, jpg, png or jpeg)

Upload your desexing certificate here if required: (optional)

Upload

(pdf, doc, docx, txt, jpg, jpeg or png)

Upload any other required forms here. For example - Declaraton of hunting or working dog forms, or Application to keep more than two dogs form. (optional)

Upload

(pdf, doc, docx, txt, jpg, jpeg or png)

Terms and conditions

I have read, understand and agree to abide by the Notes on Dog Registration *

I agree

Owner's signature *

By entering your name here you certify that the information on this form is true and correct.

Date *