Application to join the Kennel Club Assured Breeder Scheme

Show your commitment to Responsible Breeding by joining the Kennel Club Assured Breeder Scheme. The Kennel Club Assured Breeder Scheme promotes good breeding practice. There are set requirements laid out in the standard that Kennel Club Assured Breeders must agree to follow, which encourage the breeding of healthy, and well adjusted puppies.

In return you will be able to use the scheme literature and logo to promote your litters.Your annual membership entitles you to use the online Kennel Club Find a Puppy Service free of charge and will highlight your litter to puppy buyers as being bred by an Assured Breeder. You will also gain prioritised access to additional advice and information from the Kennel Club's Health and Breeder Services Department.

Initial first year payment price: £15, £10 per annum thereafter

Completing the form

* Indicates required fields
Numbers after boxes indicate maximum number of characters

Section 1. Contact

Title*	Initials*	Surname*
	24	24

Address 1*
50 Address 2
50 Address 3
50 Postcode*
12

Telephone
50 Mobile
50 Email*
50

Please complete if breeding in joint names:

Title	Forename	Surname
	24	24

Section 2. Breeds 1. * 50 2. 50

Kennel Name (If Applicable)

12

If you are applying to join the scheme with male dogs only please list below:

Registered Name 1
50 Registered Name 2
50 Registered Name 3
50

Registration No.
50 Registration No.
50 Registration No.
50

Section 3. Experience

Please answer all of the following questions to illustrate your level of experience in each breed as stated above.

Experience

Please answer all the questions in this section and provide a short statement to illustrate your level of experience in each breed.

Please note the information from this section will be recorded and summaries made available to potential puppy buyers and enquirers.

1. Approximately how many litters have your bred? 5

2. How many dogs have you bred that are listed in the Kennel Club Stud Book? 5

3. Are you currently a member of a breed club(s)?
Yes:
No: If yes, please state which breed clubs:
50

4. Please provide a short statement of your level of experience in each breed as stated above.
(Max 200 Characters). 2000

Section 4. Declaration

I have read and understand the requirements of being an Assured Breeder and I undertake to comply with them and hereby apply to be a Kennel Club Assured Breeder. I will provide the Kennel Club upon request with the opportunity to review my compliance procedures and to investigate any anomalies or complaints and to visit my premises upon reasonable notice. I accept that in the event of non-compliance, my name may be removed from the list of Assured Breeders and I will no longer be entitled to use the Scheme literature or accreditation. I consent to the release of data/information to any relevant authority. (Note: there is a set complaints procedure and a copy of this can be obtained on request.)

I accept the declaration
I do not accept the declaration

Section 5. Scheme Disclaimer

Do you accept the terms and conditions laid out by the Kennel Club Assured Breeder Scheme?

Yes I agree No I do not agree and do not want to pursue with this application

Section 6. Payment

First initial payment £15 for first year.
There after £10

Annual Maintenance
Please note that maintenance of this Kennel Club Assured Breeder Scheme membership payment will be due annually on the date the Kennel Club Assured Breeder Scheme has been granted. We recommend that you pay for the future annual maintenance payments by Direct Debit, this method will also help to ensure that your membership does not lapse. If you wish to pay by direct debit, please download the direct debit form and return to the Kennel Club. The Kennel Club will notify you four weeks before the annual maintenance payment is due. The initial payment of £15.00 can be made through the Online Shop. If payment is not received within one week of the due date a second reminder letter will be sent advising that unless payment is received within 21 days the membership application will be lapsed. The payment reduces to £10 per annum thereafter.

Where did you hear about the Kennel Club Assured Breeder Scheme application form? 50

May we contact you? Your privacy is very important and we retain your data in accordance with our privacy policy. The Kennel Club Limited or our marketing partners may contact you by mail, email, telephone to tell you about our related services and to send you details of special offers and discounts available. By providing us with your address, telephone number or email address and registering with us you consent to being contacted by these methods for these purposes.

Please indicate if you: If you do not wish to receive special offers, discounts and information from the Kennel Club or our marketing partners please tick this box. or from carefully selected third parties tick this box.

I/we agree to submit to and be bound by the Kennel Club rules and regulations in their present form or as they may be amended from time to time in relation to all canine matters with which the Kennel Club is concerned.

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