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The Animal Welfare (Licensing of Activities Involving Animals) (England)
Regulations 2018
Application for a licence to hire out horses
Please complete all the questions in the form.
If you have nothing to record, please put "n/a" or "none"
Applicant Profile Section
1
Reference number
1.1
System reference number
1.2
Your reference
1.2a
Agent
1.2.1
Are you an agent acting on behalf of
the applicant?
Yes
No
If no go to 1.3
1.2b
Further information about the agent
1.2.2
Name
1.2.3
Address
1.2.4
Email
1.2.5
Main telephone number
1.2.6
Other telephone number
1.3
Applicant details
1.3.1
Name
1.3.2
Address
1.3.3
Email
1.3.4
Main telephone number
1.3.5
Other telephone number
1.3.6
Applying as a business or
organisation, including a sole trader
Yes No
1.3.7
Applying as an individual
Yes No
1.4a
Applicant business
1.4.1
Is your company registered with
companies house?
Yes No If no go to 1.4.3
1.4.2
Registration number
1.4.3
Is your business registered outside the
UK?
1.4.4 VAT number
1.4.5 Legal status of the business
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1.4a
Applicant business
1.4.6 Your position in the business
1.4.7
The country where your head office is
located
1.4.7b
Business address – this should be your official address – the address required of you by law to
receive all communication
1.4.8
Building name or number
1.4.9
Street
1.4.10
District
1.4.11
City or town
1.4.12
County or administrative area
1.4.13
Post code
1.4.14
Country
Type of Business Section
2a
Type of application
2.1
Type of application
New Renewal If new, go to 2.3
2.2 Existing licence number
2b
Further information about the applicant
2.3
Date of birth
3
Establishment to be licensed
3.1 Name of premises/trading name
3.2 Address of premises
3.3 Telephone number
3.4 Email address
3.5
Is the establishment open throughout the
year?
Yes
No
3.6 When is it normally open?
3.7
Do you have planning permission for this
business use?
Yes No
4
Accommodation and facilities
Please describe the accommodation available for horses:
4.1 Stalls (please give the number)
4.2 Boxes (please give the number)
4.3 Covered yard (please give dimensions)
4.4 Open yard (please give dimensions)
Please describe the land available for:
4.5 Grazing
4.6 Instructing or demonstrating
4.7 Exercise
Please describe the accommodation available for:
4.8 Forage and bedding
4.9 Equipment and saddlery
Please describe the arrangements in place for:
4.10 Water supply and watering horses
4.11 Disposal of animal waste
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4
Accommodation and facilities
4.12
Protection of horses in event of a fire,
and fire precautions
5a
Horses
5.1
How many horses are kept under the
terms of the Act at the present time?
5.2
How many horses do you intend to keep
under the terms of the Act during the
year?
Please provide details of all the horses currently kept
5.3
Name of horse
5.4
Description including size
5.5
Sex
5.6
Age
5.7
Horse passport number
5.8
Purpose for which horse is kept
5.9
Age range of people who ride this horse
5.10
Add another horse?
Yes
No
If no, go to 6.1
5b
Horse 2
5.11
Name of horse
5.12
Description including size
5.13
Sex
5.14
Age
5.15 Horse passport number
5.16
Purpose for which horse is kept
5.17
Age range of people who ride this horse
5.18 Add another horse? Yes No
If no, go to 6.1
5c
Horse 3
5.19 Name of horse
5.20
Description including size
5.21
Sex
5.22 Age
5.23
Horse passport number
5.24 Purpose for which horse is kept
5.25
Age range of people who ride this horse
5.26
If you intend to hire out further horses please attach a separate list of these with the information requested in
questions 5.3 to 5.10 for each.
6
Management of the establishment
6.1 Name and address of the manager/person with direct control of
the establishment
6.2 Does the manager have any of the following certificates? (tick all that apply)
Assistant Instructor’s Certificate of the British Horse Society
Intermediate Instructor’s Certificate of the British Horse Society
Instructor’s Certificate of the British Horse Society
Fellowship of the British Horse Society
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6
Management of the establishment
Fellowship of the Institute of the Horse
None of the above
6.3 Please give details of the manager’s experience in the
management of horses
6.4 Does a responsible person live at the establishment? Yes No
6.5 What are the arrangements in the event of an emergency?
6.6 Will a person who is under 16 years of age be left in charge of the
establishment at any time?
Yes No
6.7 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)?
Yes No
7
Veterinary surgeon
7.1 Name of usual veterinary surgeon
7.2 Company name
7.3 Address
7.4 Telephone number
7.5 Email address
8
Public liability insurance
8.1 Do you have public liability insurance? Yes No If no, go to question 8.9
If yes, please provide details of the policy
8.2 Insurance company
8.3 Policy number
8.4 Period of cover
8.5 Amount of cover (£m)
Does this policy:
8.6
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?
Yes No
If yes to all, go
to 9.1
8.7
Insure against liability arising out of such hire or
use of a horse?
Yes No
8.8
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?
Yes No
8.9
Please state what steps you are taking to obtain
such insurance
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9
Disqualifications and convictions
Has the applicant, or any person who will have control or management of the establishment, ever been
disqualified from:
9.1
Keeping a pet shop?
Yes
No
9.2
Keeping a dog?
Yes
No
9.3
Keeping an animal boarding establishment?
Yes
No
9.4
Keeping a riding establishment?
Yes
No
9.5
Having custody of animals?
Yes
No
9.6
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?
Yes
No
9.7
Has the applicant, or any person who will have control or
management of the establishment, ever had a licence
refused, revoked or cancelled?
Yes
No
9.8
If yes to any of these questions please provide details
10
Additional details
Please check local guidance notes and conditions for any additional information which may be required
10.1
Additional information which is required or may be
relevant to the application
Payment and Declaration Section
11
Payment
11.1
Payment must be made at the time of making the application
11.2
Please see website page for the relevant fees
12
Model licence conditions and guidance
All applicants to tick that they have read the applicable model licence conditions and guidance
12.1
Selling pets
12.2
Animal boarding
12.3
Performing animals
12.4
Riding establishments
12.5
Dog breeding
13
Additional information
Please attach the following information
13.1
A plan of the premises
13.2
Insurance policy
13.3
Operating procedures
13.4
Risk assessments (including fire)
13.5
Infection control procedure
13.6
Qualifications
13.7
Training records
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14
Declaration
14.1
This section must be completed by the applicant. If you are an agent please ensure this section is completed
by the applicant.
14.2
I am aware of the provisions of the relevant Act and model licence conditions. The details contained in the
application form and any attached documentation are correct to the best of my knowledge and belief.
14.3
Ticking this box indicates you have read
and understood the above declaration
14.4
Full name
14.5
Capacity
14.6
Date
Please return this application form to:
Environmental Health Services
Harlow Council
Civic Centre
The Water Gardens
Harlow
Essex CM20 1WG