/ Application to Register Domestic Animal(s)
For period ending 9 April 2019
Enquiries: 1300 88 22 33
ABN 98 626 522 719
Surname / First Name/s / Title
Street Address / Postcode
Postal Address (PO Box)
Animal Location (If different to above but in Maroondah)
Home Ph / Mobile Ph / Other Ph
email
Membership if applicable. FFC No / VCA No
Pension Card No. (Health Care Card notaccepted) Type
ANIMAL DETAILS
If registering more than 2 dogs or 2 cats, see Additional Animal Permits on reverse / Animal 1 / Animal 2
Animal Type /  Dog  Cat /  Dog  Cat
Gender /  Male  Female /  Male  Female
Desexed (proof required) /  Yes  No /  Yes  No
Breed
Colour
Microchip Number
(Compulsory – proof required)
Age or Date of Birth
Animal’s Name
Restricted Breed Dog /  Yes  No / Yes  No
Declared Dangerous or Menacing Dog /  Yes  No /  Yes  No
Office Use Only
Tag Number (lifetime tag)
Amount Payable
Receipt Number
DECLARATION
I, / declare that the information contained in this application
regarding my animal/s is true and correct and I make it on the understanding that a person supplying false information is liable to prosecution under the Domestic Animals Act 1994. I also declare that any dog/s on this application has/have been correctly identified as the whether or not it is/they are a restricted breed. (see back of form for details)
I also understand that this registration is current from today’s date until 9 April 2019, at which time I am required to pay the registration renewal provided by Council.
Signature of Owner / Date
Office Use Only Receipt Number C / CSH / E
Tag Number / 1/ / 2/
Amount Payable
Animal Aid /  Reclaim  Adoption /  Reclaim  Adoption

Animal Registration fees from 10 April 2018 to 9 April 2019 - Pro Rata for first time registration applies

Dogs / Fee / Pension Concession Fee / Restricted
Breeds
Penalties Apply to
Local Laws
Additional Animal Permit
State Government Levy
Privacy / Any restricted breed dog MUST be declared:
Restricted breeds are:
  • Pit Bull Terrier
  • American Pit Bull Terrier
  • Fila Brasileiro
  • Dogo Argentino
  • Japanese Tosa
  • Perro De Canario or Presa Canario.
  • Owners of unregistered animals
  • Owners of animals found wandering at large
  • Owners of animals found not wearing a current registration tag.
Council’s General Local Law No. 11 requires that:
  • Dog owners must remove excrement left by their dog on naturestrips and Council land, and
  • Cats must be confined to owner’s property from sunset to sunrise each day.
A permit must be obtained to keep morethan two dogs and/or two cats perresidential household. Applicationforms are available online at and from any of our Customer Service Centres.
The registration fee includes a State Government Levy. This levy is used to fund responsible pet ownership education programs.
Maroondah City Council is committed to
protecting your privacy as prescribed by the
Privacy & Data Protection Act 2014 and the
Health Records Act 2001. The information you provide on this form is being collected by
Maroondah City Council for the strict purpose
of conducting Council business. Your
information will not be disclosed to any
external party without consent, unless Council
is required or authorised to do so by law.
Failure to provide the information requested
may make you ineligible to receive the service or be part of an event/function that is the subject of this form. Any access to the
information, amendments that may be required or any privacy enquiries may be directed to Council's Privacy Officer & Health Records Officer on 9298 4211 or email -
.
Desexed / $47.00 / $ 23.50
Entire (Undesexed) / $140.00 / $ 70.00
Dangerous Dog / $222.50 / FULL FEE ONLY NO DISCOUNT
Declared Menacing or Restricted Breed / $222.50 / FULL FEE ONLY NO DISCOUNT
Cats / Fee / Pension Concession Fee
Desexed / $ 36.50 / $ 18.25
Entire (Undesexed) / $ 110.00 / $ 55.00
Pro Rata fees apply for first time Pet RegistrationsOnline Pro Rata fee automatically applied
Postal applications contact Council for current fee
Replacement Tags / Free– if registration is current
Ownership
Registration
Pension
Concession
Reduced Fee
Microchip Implant
Impounded Animals / Pet owners must be over 18 years of age.
All dogs/cats over the age of three (3) months must be registered. A lifetime tag will be issued and must be worn on your pets collar.
Please present your Pension Concession Card with your registration application. Health Care Cards are not accepted.
Eligibility criteria for reduced fee on new registrations are that the animal must be desexed, or over 10 years of age, or part of a Domestic Animal Business or Applicable Organisation.
  • Australian National Cats Inc
  • Cats Victoria Inc
  • Dogs Victoria
  • Feline Control Council (Victoria)
  • The Governing Council of the Cat Fancy Australia and Victoria Inc
All dogs and cats being registered for the first time with Council must be microchipped with proof provided at the time of registration
Impounded animals are taken to:
Animal Aid – Phone 9739 0300
35 Killara Road, Coldstream

PAYMENT METHODS

 / IN PERSON /  / VIA MAIL /  / ON LINE REGISTRATION
In person at any of Council’s Customer Service Centres. Payments can be made using cash, cheque, MasterCard, Visa Card or EFTPOS. / Make cheque or money order payable to Maroondah City Council (cross cheques not negotiable)
Mail to:Maroondah City Council
PO Box 156
RINGWOOD VIC 3134 / Go to

Select Pet Registration
ClickRegister your pet online
Pro Rata fee will be automatically applied

SERVICE CENTRES

City Office / 8.30am – 5.00pm Mon – Fri / Braeside Avenue, Ringwood
Croydon / 8.30am – 5.00pm Mon – Fri / Civic Square, Croydon
Realm / 9.00am – 8.00pm Mon – Fri / 10am – 5pm Sat – Sun & Public Hols / 179 Maroondah Hwy, Ringwood