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Green Dog Walkers pledge form

Acceptance Form

By completing this form, I accept the terms of the pledge, to receive a Green Dog Walkers lead, to always clean up after my dog and to carry extra dog bags when I walk my pet. I understand, as a dog owner, I am responsible for ensuring my dog is licensed and micro-chipped.

You must complete the fields marked with an asterisk *

Your details

Name *

Enter full postcode to find the address *

Address *

Email *

Dog's name *

Breed of dog *

Signature to sign up to the pledge *

* Please be aware that whilst we welcome anyone to join the scheme and sign the pledge to cleanup after their dog, only residents within the Belfast City Council boundary will receive a Green Dog Walkers lead.

GDPR Statement

Belfast City Council is the Data Controller under the General Data Protection Regulation (GDPR) for the personal data it gathers for the purposes of the Green Dog Walkers scheme.

The Council accepts that you are providing your personal data on the basis of consent and are positively agreeing for the Council to hold and further use it.

The personal data may be shared internally within the Council with staff who are involved in providing this service and where necessary, between internal departments with the purpose of supporting an effective delivery of service.

Your personal data will not be shared or disclosed to any other organisation without your consent, unless the law permits or places an obligation on the BCC to do so.

The personal data is held and stored by the Council in a safe and secure manner and in compliance with Data Protection legislation and in line with the Council’s Records Retention and Disposal Schedule.

If you have any queries regarding the processing of your personal data or wish to withdraw your consent to the processing of it, please contact the Community Awareness Team on 028 9032 0202 extension 5379.

If you wish to contact the Council’s Data Protection Officer, please write to Belfast City Council, City Hall Belfast, BT1 5GS or send an email to

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