Listed Status Club (Obedience) APPLICATION FORM

Listed Status Club (Obedience) APPLICATION FORM

The Kennel Club is the leading authority in training dogs and dog ownership in the UK with its principle objective being the general improvement of dogs. The Kennel Club currently registers hundreds of Clubs & Societies, although it is a well established fact that there are many more training organisations in the UK. To further develop communication within the canine community, the Kennel Club extends its relationship with other organisations who would like to be associated with the Kennel Club or would like to hold licenced Obedience shows. Benefits of becoming a Listed Status Club: l Your club will be associated with the Kennel Club brand l Publicity through the Kennel Club database, enquiries and website l Minimal club administration i.e. no need to submit annual accounts, list of club members, or have a committee structure l Access to Kennel Club services and free advice from the office l Compliance to the Kennel Club s Code of Conduct l Eligibility to hold Kennel Club registered Obedience shows l An annual certificate of being a Listed Status Club. Who is eligible to apply for a Listed Status Club? l Non-Kennel Club registered Obedience training clubs l Individual/Group Obedience training instructors.

(B) Requirements of a Listed Status Club in order to hold KC licenced Obedience competitions: l A statement outlining the club s commitment to canine welfare which is to be signed and dated by the applicant l Third party liability insurance, a copy of the certificate to be submitted to the Kennel Club l First Aid provisions, in line with the size and number of expected attendees l A competition management profile and risk assessment to show evidence to suitability to hold a Kennel Club licenced show. This must also include a reference from an experienced/ established committee member from a fully registered club l Registration fee. (A) Requirements of a Listed Status Club for training purposes only: l A statement outlining the club s commitment to canine welfare which is to be signed and dated by the applicant l Third party liability insurance, a copy of the certificate to be submitted to the Kennel Club l First Aid provisions, in line with the size and number of expected attendees l Two supporting references: the first letter confirming the applicant(s) training experience written and signed by an experienced dog trainer i.e. Kennel Club Championship Obedience Judge, Kennel Club Obedience Accredited Trainer/Instructor. The second letter must be submitted by a local Dog Warden/ Environmental Health Officer to confirm the safety and suitability of the premises/ ground(s) being used for the purposes of dog training l Registration fee.

(C) Requirements of a Listed Status Club for training purposes AND to be able to hold KC licenced Obedience competitions: l A statement outlining the club s commitment to canine welfare which is to be signed and dated by the applicant l Third party liability insurance, a copy of the certificate to be submitted to the Kennel Club l First Aid provisions, in line with the size and number of expected attendees l Two supporting references: the first letter confirming the applicant(s) training experience written and signed by an experienced dog trainer i.e. Kennel Club Championship Obedience Judge, Kennel Club Obedience Accredited Trainer/Instructor. The second letter must be submitted by a local Dog Warden/ Environmental Health Officer to confirm the safety and suitability of the premises/ ground(s) being used for the purposes of dog training l A competition management profile and risk assessment to show evidence to suitability to hold a Kennel Club licenced show. This must also include a reference from an experienced/established committee member from a fully registered club l Registration fee. What are the costs involved? If a Club has no active competitive disciplines in our database (Agility, HTM, Obedience, Rally, etc.) and no active GCDS Scheme in our database then fees are as follows: Enrolment fee for the new competitive activity: 90 Annual renewal fee: 45 If a Club has an active GCDS Scheme in our database then fees are as follows: Enrolment fee for the new competitive activity: 15 Annual renewal fee: 15 The annual renewal fee for the GCDS scheme will remain unchanged. If a Club has an active competitive discipline in our database (Agility, HTM, Obedience, Rally, etc.) then fees are as follows: Enrolment fee for the new competitive activity: 15 Annual renewal fee: 15 The annual renewal fee for the existing competitive discipline will remain unchanged at: 45

Application Form Please complete this form, using BLOCK CAPITALS and return it to: The Canine Activities Department, The Kennel Club, Clarges Street, London, W1J 8AB Club Group Individual Name of Club Organiser Proposed Title of Club Is your Club: Kennel Club Registered? Yes/No Listed Status? Yes/No If yes -Name of Club Venue Training Address (if applicable) Tel (Day) Fax No. Email Website The Club s purpose will be for: Training Only Holding Licenced KC Obedience Shows only Both Please enclose the relevant documents as outlined in options A, B or C depending on your chosen preference of Requirements of a Listed Status Club I acknowledge and agree to abide by Kennel Club Rules and Regulations, and to follow the Kennel Club Code of Conduct that may be updated when required. Signature Date

Payment Form New Listed Status Club (Obedience) Registration 90 Annual Renewal 45 For existing Good Citizen Dog Scheme Members Registration 15 Annual Renewal 15 Clubs that have an active competitive discipline in our database (Agility, HTM, Obedience, Rally, etc.) Registration 15 Annual Renewal 15 (Annual Renewals are payable by Direct Debit) Details of Club/Organisation Co-ordinator Please complete using BLOCK CAPITALS Title Forename Surname Address Post Code Tel (Day) Tel (Eve) Email Method of Payment for Initial Registration Fee Visa Master Card Switch/Maestro Delta Solo Electron Card number Issue No. (if printed on card) CCV number Expiry Date / These are the last 3 digit number printed after your card number. This number is required for all credit card transactions and constitutes an additional security measure Applicant(s) signature(s) Date Payment by Cheque: Please make cheques payable to the Kennel Club Limited. Please allow 28 days for delivery. Don t forget to complete the Direct Debit form for Annual Renewal Your name and address will be retained by the Kennel Club for the purposes of its records and for keeping you informed about services offered by the Kennel Club. From time to time the Kennel Club and its marketing partners would like to send you information, by mail or email, about related products or services, either available from us or our marketing partners, which may be of benefit or interest to you.the Club s purpose will be for: Please indicate here if you do not wish to receive such information Please indicate here if you do wish to receive such information by email

Instruction to your bank or building society to pay by Direct Debit Please fill in the whole form including the official use box using a ball point pen and send it to: The Kennel Club Ltd 10 Clarges Street W1J 8AB Service user number 9 8 0 1 0 4 FOR The Kennel Club Ltd OFFICIAL USE ONLY This is not part of the instruction to your bank or building society. ACCOUNT HOLDER DETAILS (if different from kennel name holder) Name(s) of account holder(s) ADDRESS: Bank/building society account number POSTCODE: OBEDIENCE Branch sort code Name and full postal address of your bank or building society To: The Manager Bank/building society Instruction to your bank or building society Please pay The Kennel Club Ltd Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with The Kennel Club Ltd and, if so, details will be passed electronically to my bank/building society. Address Signature(s) Postcode Date Reference 03/12/12 Banks and building societies may not accept Direct Debit Instructions for some types of account ISSUE 2 OBEDIENCE/DD DDI2 This guarantee should be detached and retained by the payer. The Direct Debit Guarantee This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits If there are any changes to the amount, date or frequency of your Direct Debit The Kennel Club Ltd will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request The Kennel Club Ltd to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit, by The Kennel Club Ltd or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society If you receive a refund you are not entitled to, you must pay it back when The Kennel Club Ltd asks you to You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us. 03/12/12 ISSUE 2 OBEDIENCE/DD

Other activities available to listed status clubs The Kennel Club Good Citizen Dog Scheme is the largest dog training scheme in the UK. Its aim is to promote responsible dog ownership and in turn, enhance our relationship with our pets and to make the community aware of the benefits associated with dog ownership. Whether you are a sole trainer or have a group of instructors at your dog training club, provided you are prepared to host regular Good Citizen Dog Scheme Training Courses and subsequent testing sessions, the Kennel Club Good Citizen Dog Scheme Listed Status is an ideal way of supporting responsible dog ownership as part of a nationally recognised syllabus. The Listed Status Scheme does not require annual accounts or other related committee paperwork. More details of the GCDS can be found at www.thekennelclub.org.uk/dogtraining Agility Agility is a comparatively new form of dog competition, where the animal s fitness and the handler s ability to train and direct the dog over and through certain obstacles are tested. Rally Rally is a canine sport derived from the heelwork elements of competitive Obedience. It involves the handler and their dog working as a team to navigate a course with numbered signs indicating different exercises to perform. Heelwork to Music Heelwork to Music (HTM) is a relatively recent competitive activity in which participants devise routines of up to four minutes, set to music, and perform the routines with their dog. HTM is divided into two categories - Heelwork to Music and Freestyle - and most shows stage official classes in both categories. Other disciplines soon to be added. More details about Activities can be found at www.thekennelclub.org.uk/activities

Clarges Street, London W1J 8AB Telephone 0129 631 8540 Facsimile 020 7518 1046 www.thekennelclub.org.uk The Kennel Club Limited Incorporated in England and Wales Registered No: 8217778 KC/CAT/119/02/16