Pet registration form

* required field

Customer details

First name

Last name

Address

Address 2

City/Town

ZIP/Postal Code

Telephone

email address

Property details

Property type (e.g. house, flat, etc.)

Does the property have a private entrance?

Yes

Does the property have a private garden?

Yes

Is the property a shared or communal scheme?

Yes

Pet details

Do you currently have any pets?

Yes

If yes, please provide details (e.g. type of pet, number, age, breed, size)

Type of new pet for registration

Number of pet(s)

Name of pet(s)

Breed/size (if applicable)

Age of pet(s)

Is the pet an assistance dog?

Yes

Legal compliance

Please confirm those that apply:

Dogs are microchipped

Cats are microchipped (Mandatory from 10 June 2024)

Dogs wear a collar and ID tag when in public

The pet is not a banned or prohibited animal

Animal welfare

I confirm that:

I can meet my responsibilities under the Animal Welfare Act 2006

The pet has suitable accommodation, exercise and care

I can meet the lifetime costs of caring for this pet

Declaration

Signature

Sign above

Date

My account

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