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Easter 2010
 

The Thomas Risley Church

Glover Road, Locking Stumps, Birchwood, Warrington WA3 7PH.

Website: - www.thomasrisley.org


Ministers: - Revs. A & S Willett, The Manse, 750, Warrington Road, Locking Stumps, Birchwood, Warrington (WA3 6AH).

Tel.                09125-487851         E MAIL: - rev.willett@bigfoot.com


MINIBUS DRIVER APPLICATION FORM


Please be aware that there are a number of conditions attached to our insurance which mean that we need the correct details to be given here. Only drivers who have completed this form will be allowed to drive the minibus. Once having completed the form, any changes to the information below should be notified to us as soon as possible (i.e. points on licence). Please include the name of the Group using the minibus, below, if different from the driver’s name.


Conditions of use:-

  1. Drivers must have been driving for at least 5 years, or must hold a minibus driving qualification. This qualification must have been held for a year and evidence must be shown before the bus can be used.

  2. We will need to have a photocopy of your driving licence and one other form of ID (eg. utility bill) so that your name age and address can be checked.

  3. Drivers must be at least 25 years of age.

  4. The booking can only be confirmed 3 months before the date of use. This allows time for church bookings to be notified, which will take preference.


Name


Date of Birth


Address and Phone Number


How many years have you had your licence?


Details of any points on licence


Details of any claims on insurance in last 5 years


Any relevant medical conditions

(in case of accident)


User Group Name

(if any)


I have read the Information for Users and accept the conditions of use. Please sign



Contact: - Minister as above, or

Wanda Gemmell (bookings)                01...        (wanda.gemmell@btinternet.com)

Derek Tabor (keys)                01...        (mystyrtee@aol.com)