Dog Registration Form

Please fill out the below form to ensure your dog is registered with the City of Kalgoorlie-Boulder

Concessions Holders (Pensioner Concession Holders, State Concession Card, Commonwealth Seniors Health Card with a WA Seniors Card)
Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Dog Gender*This field is required.
Is the Dog Sterilised
Proof of sterilisation is required in the form of either
- Veterinary Surgeon's Certificate (please attach photocopy)
- Ranger sighting ear tattoo
- Contact information for responsible Vet Clinic*This field is required.
Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Is the dog known as dangerous*This field is required.
Is the dog a Commercial Security Dog*This field is required.
By ticking this box, you certify that you have not had any convictions under the Dog Act 1976, Cat Act 2011 or Animal Welfare Act 2002 in the last three years; and the owner is not under the age of 18; and the particulars shown in this application are true to the best of your knowledge and belief.*This field is required.