Application for a licence for Hiring out Horses

Application for a licence for Hiring out Horses

The Animal Welfare (Licensing of Activities Involving Animals) Regulations 2018
Please complete all the questions in the form.
If you have nothing to record, please state "Not applicable" or "None"
Type of Application*
Existing licence number*

Management of the establishment
Name of the manager/person with direct control of the establishment:

First NameLast Name
Address of the manager/person with direct control of the establishment:*

Street Address

Street Address Line 2

Town/CityCounty

Post Code
Does the manager have any of the following certificates? (tick all that apply)*

Assistant Instructor’s Certificate of the British Horse SocietyIntermediate Instructor’s Certificate of the British Horse SocietyInstructor’s Certificate of the British Horse SocietyFellowship of the British Horse SocietyFellowship of the Institute of the HorseNone of the above
Please give details of the manager’s experience in the management of horses*
Does a responsible person live at the establishment?*
What are the arrangements in the event of an emergency?*
Emergency Plan

Cancelof
Will a person who is under 16 years of age be left in charge of the establishment at any time?*
Will a responsible person (of 16 years or over) provide supervision at all times while horses from the establishment are used for riding instruction or are hired out for riding (except in the case of the hirer being competent to ride without supervision)?*

Public liability insurance
Do you have public liability insurance?*
Insurance company:*
Policy number:*
Period of cover:*
Amount of cover (£m):*
Does this policy:
Insure against liability for any injury sustained by those who hire a horse from you for riding and those who use a horse in the course of receiving instruction in riding, provided by you in return for payment?*
Insure against liability arising out of such hire or use of a horse?*
Insure such hirers or users in respect of any liability which may be incurred by them in respect of injury to any person caused by, or arising from, such hire or use?*
Please state what steps you are taking to obtain such insurance:*

Has the applicant, or any person who will have control or management of the establishment, ever beendisqualified from:*

	Yes/No
Keeping a pet shop?
Keeping a dog?
Keeping an animal boarding establishment?
Keeping a riding establishment?
Having custody of animals?
Has the applicant, or any person who will have control or management of the establishment, been convicted of any offences under the Animal Welfare Act 2006?
Has the applicant, or any person who will have control or management of the establishment, ever had a licence refused, revoked or cancelled?

Declaration
I declare that the information given in this application is to my best knowledge and belief, correct, and understand that a false declaration could result in the licence applied for being revoked.*

Please tick to confirm
Date*

MonthDayYear

Horse 1*

	Please provide details of Horse 1
How many horses are kept under the terms of the Act at the present time?
How many horses is it intended to keep under the terms of the Act during the year?
Name of horse
Description including size
Sex
Age
Horse passport number
Purpose for which horse is kept
Schedule of use. (Hours per day/week and rest days)
Shoe O/F/R/All round
Microchip Number

If you need to record more than 10 horses, please email the details of the remaining horses to envinmental.health@surreyheath.gov.uk
Once we have received your completed application, our Environmental Services Team will be in contact with you to arrange an inspection and to take payment.
Privacy Statement

Details of Surrey Heath Borough Council’s Privacy Notice can be found here.
I confirm that I have read and understood Surrey Heath Borough Council's Privacy Notice*

Please tick to confirm
Date*

DayMonthYear
Should be Empty:

Establishment to be licensed