Proposed Course Date
Venue
Your Name (full name needed for printing on your certificate)
(if applicable) Group/School/Company you are attending with
Your Email Address (the one you will log-on with for eLearning modules)
Your Licence Number
Your Licence Type (Open, Provisional, Learners)
Your Phone Number
In case of an emergency, contact the following (insert name and phone)
CANCELLATION POLICY
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.
I have read the above conditions and agree
Yes
No
RELEASE & INDEMNITY AGREEMENT
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.
I have read the above terms and agree
Yes
No
GIFT VOUCHER ORDER
I would like a Gift Voucher emailed
Yes
No
Email voucher to (if different email to above)
Special instructions for voucher
PROGRAM BEING BOOKED
eLearning: Safe Drive (Defensive) $66
Yes
Defensive course South-east QLD (with eLearning and vehicles supplied) $264
Yes
Defensive course Regional (with eLearning and vehicles supplied) $330
Yes
Defensive course + Skidpan training (with eLearning and vehicles supplied) $396
Yes
Defensive Driving with school/corporate group @ Group Discount Price
Yes
Defensive & Responsible Driving Course: corporate/adult P.O.A.
Yes
eLearning: Safe Operation of 4WD Vehicles $55
Yes
4WD Off-road Training (with e-learning) using own 4WD @ Boonah $297
Yes
4WD Off-road Training (with e-learning) using own 4WD @ Grafton $352
Yes
4WD High Range Gravel Defensive Driving P.O.A.
Yes
I require the 4WD training to be nationally accredited (RIIVEH305F) +$110
Yes
I require a 4WD vehicle for the off-road training +$99 for shared usage
Yes
eLearning: Safe Driving Trailers $44
Yes
Safe Driving Trailers (eLearning theory) + Practical skills session P.O.A.
Yes
eLearning: Advanced Car Control course with A+ sticker $55
Yes
Advanced Car Control (S1 + S2) Full day @ RACQ Mobility Centre $330
Yes
(S1) Accident Avoidance Session using own vehicle $176
Yes
Skid Pan Experience using own vehicle $176
Yes
Skid Pan Experience using SDT vehicles (4WD and BRZ sportscar) $242
Yes
Skid Pan Experience using Subaru BRZ only $264
Yes
Advanced Car Control @ Carnell Raceway (Stanthorpe) $440
Yes
eLearning: Lap the Tracks Circuit Driving Licence $99
Yes
Morgan Park Track Training own car: FULL DAY $385 ($330 group rate)
Yes
Morgan Park Track Training own car: HALF DAY $253 ($220 group rate)
Yes
Morgan Park Track Training using SDT cars (BRZ and Excel Cup Car) :$495
Yes
Nissan Z Hot Lap x 3 @ Morgan Park Raceway $165
Yes
If using own vehicle, what MAKE/MODEL is it?
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
I have read the above terms and agree
Yes
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
I have read the above terms and agree
Yes
No
PAYMENT METHOD
My group/school/company is paying on my behalf
Yes
Or I am paying by?
Please Select
Direct Deposit
Visa or Mastercard
You will phone office
Please phone me
Cheque
Please Select
SAFE DRIVE TRAINING (AUST) PTY LTD
BSB Number: 124 026
Account Number: 11 087 048
Bank: BANK OF QUEENSLAND
Branch: DAISY HILL
PLEASE NOTE: We do not store credit card numbers in a database or on a file server.
Credit Card Number (Visa or Mastercard)
Name on Card
Expiry
CCV
AMOUNT BEING PAID = $
Comments/Feedback/Anything to tell us about your booking
CLICK SUBMIT TO EMAIL THIS FORM TO SDT
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!