Selected Dog Owner: Application - Gisborne District Council

*- indicates required field.

Gisborne District Dog Control Bylaw 2010 and Dog Control Policy provides for a discounted registration fee for responsible dog owners who satisfy fencing, housing and dog control criteria. The discount will apply in the next dog registration year following application, provided the criteria are met and continue to be met.
* If registration is not paid by the due date, Selected Owner status is revoked and fee is ordinary rate including penalty.
* Animal Control have the right to revoke Selected Owner status at their discretion due to any non-compliance.

** This form must be completed by the registered owner to apply.

Applicant Details

First name (optional)

Surname (optional)

Usual residential address (optional)

Can't find your address in the list? Click here to enter it manually.

Contact phone number (optional)

Email address (optional)

Postal address if different to above (optional)

What's your preferred method to receive your annual invoice and correspondence? (optional)

Post

Dog's residential address if different to above (optional)

Can't find your address in the list? Click here to enter it manually.

Have you owned a dog in the Gisborne district before? (optional)

Yes

Selected dog owner criteria

I hereby apply to become a Selected Owner and confirm that (please tick all that apply): (optional)

My dog(s) are microchipped

Dog registration is always paid before 31 July each year

I have a good dog ownership history - no record of impounding, infringements or justified complaints against my dog(s)

I have a multi-dog permit (to keep more than 2 dogs)

I am the owner of the dog(s) and they are registered in the Gisborne District

My property: (optional)

is fully fenced with a containment area (not necessarily a fully fenced yard) suitable to the size of my dog(s)

has suitable gated entrance to the front door. Visitors have free access to the front door without entering the area where my dog(s) is/are kept

has suitable enclosure to contain my dog(s) within a fenced area

I confirm that all of the above information is true and correct.

(optional)

Date (optional)

Office use only

Property inspected by: (optional)

Approved? (optional)

Yes

Reason (optional)

Owner advised? (optional)

Yes

Date (optional)