Please provide the details of staff working at the premises, including any seasonal staff and volunteers (please use additional sheets if required) Name Job Title Qualifications/training Q EMERGENCY KEY HOLDER DETAILS Please provide the details of the person to contact in the case of an emergency. This person must at all times be within a reasonable travel distance of the premises: Name: Phone: Mobile: R DISQUALIFICATIONS PLEASE REFER TO GUIDANCE NOTE 2. Are you or any person connected with the application, disqualified from applying for a licence for any reason set out in Schedule 8 of the Animal Welfare (Licensing of Activities Involving Animals) (England) Regulations 2018? YES NO S SUPPORTING DOCUMENTS Proof of insurance (hiring of horses and performing □ □ Enclosed: To follow: animals only Proof of relevant qualification(s) (hiring of horses □ □ Enclosed: To follow: only) Written emergency plan (paragraph 10(1) of schedule □ □ Enclosed: To follow: 2 of the regulations). Written training policy for all staff (paragraph 4(3) of □ □ Enclosed: To follow: schedule 2 of the regulations). Written procedures demonstrating how the accommodation and equipment will be cleaned and □ □ Enclosed: To follow: maintained (paragraph 5 of schedule 2 of the regulations). Plan of the site and internal layouts of all areas the □ □ Enclosed: To follow: licensable activity will take place Fee □ □ Enclosed: To follow: T DECLARATIONS Fraud Act 2006
Please provide the details of staff working at the premises, including any seasonal staff and volunteers (please use additional sheets if required) Name Job Title Qualifications/training Q EMERGENCY KEY HOLDER DETAILS Please provide the details of the person to contact in the case of an emergency. This person must at all times be within a reasonable travel distance of the premises: Name: Phone: Mobile: R DISQUALIFICATIONS PLEASE REFER TO GUIDANCE NOTE 2. Are you or any person connected with the application, disqualified from applying for a licence for any reason set out in Schedule 8 of the Animal Welfare (Licensing of Activities Involving Animals) (England) Regulations 2018? YES NO S SUPPORTING DOCUMENTS Proof of insurance (hiring of horses and performing animals only Enclosed: □ To follow: □ Proof of relevant qualification(s) (hiring of horses only) Enclosed: □ To follow: □ Written emergency plan (paragraph 10(1) of schedule 2 of the regulations). Enclosed: □ To follow: □ Written training policy for all staff (paragraph 4(3) of schedule 2 of the regulations). Enclosed: □ To follow: □ Written procedures demonstrating how the accommodation and equipment will be cleaned and maintained (paragraph 5 of schedule 2 of the regulations). Enclosed: □ To follow: □ Plan of the site and internal layouts of all areas the licensable activity will take place Enclosed: □ To follow: □ Fee Enclosed: □ To follow: □ T DECLARATIONS Fraud Act 2006