Application to register for the exhibition or encounters or training of performing animals

Application to register for the exhibition/encounters or training of performing animals

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 business/performance:*
If you answered 'Other' to the above question, please provide details here:*

Application Details
Have you been registered/licenced before*
Local Authority where registered/licenced:*
Give details of registration e.g type and numbers of animals, type of performance or exhibition:*
Stage name (if any):
Nationality*
Date of Birth*

MonthDayYear

Kinds of animals to be trained and the number of each kind*

Kinds of animal to be Exhibited/Encounter and the number of each kind*

Proposed Performance or Encounter
Describe the nature of the performance (s) in which the animals will be exhibited or for which they are to be trained, mentioning any apparatus which is used for the purpose of the performance. The description must be sufficient to give a general idea of what is done by the animals taking part in the performance. If it is an animal encounter please give details of what type of encounter and where these are to take place:*
Approximate duration of the performance(s):*
Number of times the performance will be given in one day:*
How will the animals be transported:*
Where are the animals to be kept when not performing or being exhibited:*

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

	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?

Additonal Details

Please check local guidance notes and conditions for any additional information which may be required
Additional information which is required or may be relevant to the application:

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. I confirm that I have read and understood Surrey Heath Borough Council's Privacy Notice*

Please tick to confirm
Date*

MonthDayYear
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.
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Application to register for the exhibition/encounters or training of performing animals