We are collecting your personal information in accordance with the Information Privacy Act 2009 and our Local Laws for the purpose of processing this application. The information will be only accessed by authorised employees and other people authorised under the Local Government Act. Your information will not be given to any other person or agency unless you have given us permission, or we are required by law.I want to: register my dog/s register my working dog/s update my dog's details request a replacement tag request a copy of my renewal notice Microchip numberResponsible person for the dog First Last I am over the age of 18 Yes No You must be over the age of 18 to be responsible for the dogEmail PhoneAlternative contact person First Last Alternate contact numberPrimary address where dog/s is/are registeredFor new registrations list address where the dog is to be registered to. For change of details list where dog is currently registered. Street Address Address Line 2 Town Postal address the same as above? Yes No Postal address Street Address Address Line 2 Town Request renewal noticeDog nameDog name — secondDog name — thirdReplacement tagDog nameNew dog registrationHow many dogs are kept at the property?There are different registration fees and limits to the number of dogs permitted allowed on the size of a property.My dog is: A puppy Reactivating my TRC dog registration New to TRC region Rehomed from a rehoming facility Privately purchased or adopted Which rehoming facility?Details of previous owner?Name and contact numberDog nameSex Male Female Primary breedSecondary breedIf applicableDate of birthEstimate if exact date not known.Colour, markings and distinguishing featuresUpload a photoThis is optional but will help to identify your dog if you become separated.Max. file size: 150 MB.Desexed? Yes No Has this dog been regulated or currently under investigation? Yes No Which Council area was this dog regulated in?Are you eligible for any of these concessions? Pensioner Kennel club or canine association Assistance dog — specifically trained guide, hearing and service dogs Are you registering a second dog? Yes No Second dog registrationMicrochip numberHave you previously registered this dog in the TRC region? Yes No My dog is: A puppy Rehomed from a rehoming facility Rehomed privately or adopted Which rehoming facility?Details of previous owner?Name and contact numberDog nameSex Male Female Primary breedSecondary breedIf applicableDate of birthEstimate if exact date not known.Colour, markings & distinguishing featuresDesexed? Yes No Has this dog been regulated or currently under investigation? Yes No Which Council area was this dog regulated in?Are you eligible for any of these concessions? Pensioner Kennel club or canine association Assistance dog — specifically trained guide, hearing and service dogs Has this working dog been regulated or currently under investigation? Yes No Which Council area was the dog regulated in?Dog detailsNameBreedDate of birthMicrochip number (15 digits)SexColour/markingsDesexed? Add RemoveDetailsDog name/sNew address where dogs are registered to Street Address Address Line 2 Town Post code Postal address Street or post office box Address Line 2 City State / Province / Region ZIP / Postal Code Other informationBy submitting this form you are acknowledging you are the owner and the person responsible for the dog/s, and that the details you have provided are true and correct.
