Dog Registration Application
Period from 1 July 2020 to 30 June 2021
Full name and address of owner
Email: office@wmk.govt.nz Phone: 0800 965 468
(0800 WMK GOV)
First name(s):
Middle name(s):
Rangiora Service Centre
215 High Street, Private
Bag 1005, Rangiora
Kaiapoi Service Centre
Oxford Service Centre
176 Williams Street, Kaiapoi
34 Main Street, Oxford
Surname:
Name ID:
Postal address: Owner date of birth:
Phone Work:
Phone Home:
Mobile:
Location of dog: Email address:
Animal ID Dog name Colour(s) Breed(s) Age
Sex
M/F
Desexed
Y/N
Class
Micro-
chip
Y/N
Tag
number
Fee
All dogs over the age of 3 months must be registered.
Persons wishing to keep 3 or more dogs on one property in the
urban areas are required to make an application to the Council.
If any details have changed (owner or dog), please make the
amendments on this form and adjust the fee if required.
Please refer to “Important Notes” overleaf
$37 Owner fee is included in the1st dog fee
Arrears
Total if paid after 31 July
Total if paid by 31 July
Payment types are listed on the back of this form. Please tick if paying by: Cheque Internet Banking
Please register my dog(s) for the year ending 30/06/2021. I confirm that the above information relating to the dog(s) in my care is
correct and I do not own or have in my possession any other dog(s) over the age of 3 months.
Signature: __________________________________________________________ Date: _______________________________
(owner or on behalf of owner)
Please do not separate Return both portions
Owner number:
Name ID:
Tax invoice when receipted.
GST Reg No 55-188-688
PLEASE PAY ON THIS FORM
Dog name Microchip number Tag number
Total paid (incl GST) $
Dog Registration Application
Period from 1 July 2020 to 30 June 2021
Fees (including GST) Fee if paid by 31 July Fee if paid from 1 August
Owner Fee (including NDD levy $1.70)
$37.00 $55.50
PLUS fee for each dog:
W = Working dog* $12.00 $18.00
P = Pet dog** (Entire not neutered) $44.00 $66.00
N = Spayed/neutered dog*** $21.00 $31.50
D = Dangerous dog**** Total Fee $87.00 $130.50
Collar Large $7.50 Collar Medium $6.00 Collar Small $4.00
* Working dogis a dog classified under Section 2 of the Dog Control Act 1996.
** Pet dogare dogs not included in the specific categories of Spayed/Neutered Dogs, Working Dogs, Hearing Dogs, Companion
Dogs or Guide Dogs for the Blind.
*** Spayed/neutered dogs Evidence in the form of a veterinary certificate, or a declaration from the owner to the effect that the
dog is spayed or neutered, will be required, where the fact is not already recorded on the Council’s dog register.
**** Dangerous dogAuthority classification any dog which has on evidence attesting to aggressive behaviour and has been
classified as such.
Important Notes
Dog Control Act 1996 -
Section 42(1) of the Dog Control Act 1996 requires that:
“…every person commits an offence and is liable on summary conviction to a fine not exceeding $3,000 who is the owner
of a dog of a greater age than 3 months unless the dog is registered under this Act for the current registration year…”
Please note failure to register your dog(s) will result in an infringement notice ($300 per dog) being issued under Section
66 of the Dog Control Act 1996.
Microchips - Your dog will need a microchip if it is:
A new puppy;
A dog registered after 01 July 2006 (working farm dogs are exempt);
A dog that has been declared menacing or dangerous.
Please see your vet to arrange microchipping. If your dog has a microchip number and the microchip column does not
have a ‘Yes’ can you please attach one of the stickers that came with the microchip to this form, or write the number down
and attach it to this form.
Disability Assist dog - is a dog that has been certified by appropriate authorised organisation (no fee).
Owner date of birth - Your date of birth is required to enable you to be distinguished from other persons with the same name.
Certainty of identification is required in the enforcement of the provision of the Dog Control Act 1996.
Where to register your dog - Please fill out and return this form with the registration fees. This can be paid at one of the following
service centres listed below:
Rangiora Service Centre
215 High Street
Rangiora
Kaiapoi Service Centre
176 Williams Street
Kaiapoi
Oxford Service Centre
34 Main Street
Oxford
Phone: 0800 965 468 (0800 WMK GOV) Email: office@wmk.govt.nz
Postal address: Waimakariri District Council, Private Bag 1005, Rangiora Website: waimakariri.govt.nz
Payment types -
Pay online at waimakariri.govt.nz (online services)
Cash - At any of our service centres listed above.
Eftpos - At any of our service centres listed above.
Cheque - Please make cheques payable to: Waimakariri District Council. If you are going to post the cheque, please post
the cheque and your signed form to us to complete registration.
Personal Internet Banking - Please use your first Animal ID as a reference.
You will need to return your form if you are removing dogs already on the form or making additional changes.
Branch: RANGIORA Account number: 01-0877-0129222-00 Reference:
Bank account details -
Bank: ANZ BANKING GROUP
200512054513