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Proposed Course Date |
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Proposed Venue (what training location are you planning to attend at) |
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Your Name (full name needed for printing on your certificate) |
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(if applicable) Group/School/Company you are attending with |
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Your Email Address (the one you will log-on with for eLearning modules) |
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Your Licence Number |
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Your Licence Type (Open, Provisional, Learners) |
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Your Phone Number |
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In case of an emergency, contact the following (insert name and phone) |
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CANCELLATION POLICY |
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REFUND OF THE E-LEARNING MODULES IS NOT POSSIBLE ONCE LOG-IN HAS COMMENCED. YOUR BOOKING RESERVES A PLACE ON THE SESSION, WHICH HAS LIMITED NUMBERS. LIKE A MUSIC CONCERT, FAILURE TO ATTEND, CONSUMES YOUR POSITION. NO REFUND OR REBOOKING IS AVAILABLE FOR NON-ATTENDANCE. POSTPONEMENT, CANCELLATION OR REFUND IS AVAILABLE PROVIDED MORE THAN 72 HOURS NOTICE IS PROVIDED BEFORE THE COURSE START. GIFT VOUCHERS ARE NOT REFUNDABLE. DISCOUNTED GROUP PRICING RELIES ON THE CORRECT NUMBER OF ENROLMENTS BEING RECEIVED. IF PARTICIPANTS DROP OUT FROM A GROUP, ATTENDEES MAY NEED TO PAY MORE. |
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I have read the above conditions and agree |
Yes
No |
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RELEASE & INDEMNITY AGREEMENT |
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TO SAFE DRIVE TRAINING (AUST) PTY LTD IN CONSIDERATION OF SAFE DRIVE TRAINING (AUST) PTY LTD AGREEING TO PROVIDE PRACTICAL INSTRUCTION IN THE TECHNIQUES OF DEFENSIVE/ADVANCED DRIVER TRAINING, I, THE UNDER SIGNED, SEVERALLY FOR MYSELF, MY HEIRS, EXECUTORS AND ADMINISTRATORS, DO HEREBY;
1. Release and discharge Safe Drive Training (AUST) Pty Ltd and it's principals, it's employees, agents, sponsors and servants from all actions, suits, causes of actions and/or suits, claims and/or demands whatsoever that might at any time hereafter arise against Safe Drive Training (AUST) Pty Ltd and it's principals, it's employees, agents or servants for, or in respect of, any death or injury to myself or any person or company howsoever arising, or any loss or damage to property howsoever arising or occurring in the course of or in connection with practical driver training.
2. Agree to keep Safe Drive Training (AUST) Pty Ltd and it's principals, it's employees, agents, sponsors and servants indemnified from, and against, all actions, suits, causes or action, claims and demands whatsoever, which I or any person or company may at any time hereafter have against Safe Drive Training (AUST) Pty Ltd and it's principals, it's employees, agents or servants for, or in respect of, any death or injury to myself or any person, or any loss or damage to property arising in the course of, or in connection with, the participation by me in such practical driver training.
3. Acknowledge that I have read this entire enrolment document and understand the document and its legal consequences.
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I have read the above terms and agree |
Yes
No |
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GIFT VOUCHER ORDER |
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I would like a Gift Voucher emailed |
Yes
No |
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Email voucher to (if different email to above) |
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Special instructions for voucher |
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PROGRAM BEING BOOKED |
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Junior Driver Training @ Willowbank Raceway $275 |
Yes
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Junior Driver Training @ Morgan Park Raceway (Warwick) $297 |
Yes
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Junior Driver Training @ Carnell Raceway (Stanthorpe) $330 |
Yes
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Junior Driver Training @ Lakeside Driver Training Centre $330 |
Yes
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eLearning: Safe Drive (Defensive) $66 |
Yes
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Willowbank Defensive course (with eLearning and vehicles supplied) $297 |
Yes
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Stanthorpe Defensive course (with eLearning and vehicles supplied) $330 |
Yes
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Lakeside DTC Defensive course (with eLearning and vehicles supplied) $363 |
Yes
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Armidale Defensive course (with eLearning and vehicles supplied) $385 |
Yes
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Regional venues Defensive course (with eLearning and vehicles supplied) $396 |
Yes
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Defensive & Responsible Driving Course: corporate/adult P.O.A. |
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eLearning: Safe Operation of 4WD Vehicles $55 |
Yes
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Mount View (Boonah) 4WD Off-road Training (with e-learning) using own 4WD $297 |
Yes
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I require the 4WD training to be nationally accredited (RIIVEH305F) +$110 |
Yes
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I require a 4WD vehicle for the off-road training +$110 for shared usage |
Yes
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Willowbank 4WD High Range Gravel Defensive Driving P.O.A. |
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eLearning: Safe Driving Trailers $44 |
Yes
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Safe Driving Trailers (eLearning theory) + 4hr practical skills session $330 |
Yes
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eLearning: Advanced Car Control course with A+ sticker $55 |
Yes
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Lakeside DTC Advanced Car Control (4 hours, own car) $396 |
Yes
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Stanthorpe Advanced Car Control (4.5 hours, own car) $440 |
Yes
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Armidale Advanced Car Control (5 hours, own car) $440 |
Yes
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Armidale Skid Pan Experience (4 hours with sports cars supplied) $440 |
Yes
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Armidale Stunt Driving Course (5 hours with cars supplied) $495 |
Yes
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Corporate Driving Day: team building fun P.O.A. |
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eLearning: Lap the Tracks Circuit Driving Licence $99 |
Yes
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Morgan Park Track Training own car: FULL DAY $396 ($330 group rate) |
Yes
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Morgan Park Track Training own car: HALF DAY $264 ($220 group rate) |
Yes
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Morgan Park Track Training using SDT cars (BRZ, Satria GTi, Excel Cup Car):$550 |
Yes
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Nissan Z Experience @ Morgan Park Raceway $375 |
Yes
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Fast Car Hot Laps x 3 Nissan Z or Mustang V8 @ Morgan Park $165 |
Yes
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If using own vehicle, what MAKE/MODEL is it? |
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If using your own vehicle; you agree and confirm
- to the best of your knowledge that your vehicle is roadworthy and suitable for the training activity being booked
- you will not drift your vehicle (deliberate high speed sliding) as you understand that all venues used do not allow drifting
- if asked you will submit your vehicle for noise testing and accept if it is deemed too loud for the activity being undertaken (you will not attend if your exhaust has been modified to make the vehicle very loud). All venues used have strict noise limits
- you understand that burnouts, playing loud music, bringing pets, operating drones, riding scooters are all banned activities
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I have read the above terms and agree |
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No |
If using SDT training vehicle(s); you agree and confirm
- that your driving is being filmed by dashcams and CCTV cameras and that engine management software is recording your use of the vehicles controls and safety systems (data that can be downloaded for review or as evidence)
- you will not drift the vehicle (deliberate high speed sliding) as you understand that all venues used do not allow drifting
- you will not misuse the vehicle and/or switch on or off safety systems or vehicle systems that could damage the vehicle
- that the vehicles supplied are fully insured with no excess payable for an accident during training but deliberate misuse or gross negligence may result in insurance excess for damage or payment being required to rectify mechanical damage caused
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I have read the above terms and agree |
Yes
No |
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PAYMENT METHOD |
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My group/school/company is paying on my behalf |
Yes |
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Or I am paying by? |
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- SAFE DRIVE TRAINING (AUST) PTY LTD
- BSB Number: 124 026
- Account Number: 11 087 048
- Bank: BANK OF QUEENSLAND
- Branch: DAISY HILL
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PLEASE NOTE: We do not store credit card numbers in a database or on a file server.
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Credit Card Number (Visa or Mastercard) |
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Name on Card |
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Expiry |
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CCV |
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AMOUNT BEING PAID = $ |
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Comments/Feedback/Anything to tell us about your booking |
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CLICK SUBMIT TO EMAIL THIS FORM TO SDT
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when you press SUBMIT this form will become an email and the data you have entered will be coded into the email message to send to us. You must send that email to us! |
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