GDF – Suez Traffic School – Information Kit for schools and educational groups

Traffic School Bike Education Trailer Hire Form

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Prior to completing this form, contact Caroline Melhuish on (03) 5128 5664 or email to confirm the availability of the Bike Education Trailer.

On confirmation, complete this form and return to Latrobe City Council via:

  • Post: PO BOX 264, Morwell 3840
  • Fax: (03) 5128 5672
  • Email:
  • Or deliver in person to a Latrobe City Service Centre in Morwell, Moe or Traralgon

Please note: The bike trailer is only available for use at school grounds, it is not available for school camps etc.

For registered educational organisations only; an invoice can be arranged, all other payments must be made at the time of booking.

Contact Information

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Organisation Name:

Educational

Contact Name:

Address:

Phone (Business Hours):

Phone (After Hours):

Mobile:

Email:

Drivers licence number:

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Hire Information

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Hire date from (dd/mm/yy):

Hire date to (dd/mm/yy):

Hire time, start::

Hire time, finish:

Yes, Traffic Educator required (security bond not required if educator is present)

Educator hire time, start::

Educator hire time, finish:

Payment via invoices required (for registered educational organisations only)

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Hire charges (including GST)

Without an educator

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Mobile Bike Education Trailer - $35 per day

Security Bond - $200

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

With educator

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Mobile Bike Education Trailer - $35 per day

Traffic Educator - $32per hour

Yes, the educator is required daily

Educator date from (dd/mm/yy):

Educator date to (dd/mm/yy):

Educator time, start::

Educator time, finish:

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Total charges

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Total hire charges:

Bond included in charge

Educator included in charge

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Please Note: the security deposit does not apply when the Traffic Safety Educator is present. The security deposit will be refunded via electronic funds transfer into the nominated bank account and will take approximately 15 working days to process. Please ensure the EFT Payment Form is completed and returned to Latrobe City Council.

Conditions of Hire

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

I/We

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

agree as an authorised representative of the hirer:

  1. To indemnify and keep indemnified and to hold harmless the Latrobe City Council, its servants and agents and each of them from and against all actions, costs, claims, expenses and damages whatsoever which may be brought, made or claimed against them or any of them arising out of, or in relation to, my use and/or the organisation I represent, using the said International Power Traffic School Bike Education Trailer, bicycles and helmets, hereafter referred to as 'the trailer/bikes/helmets'.
  2. To ensure the trailer is left free of rubbish and all waste is placed in receptacles provided. Failure to adhere to this may result in forfeiture of the security bond.
  3. Promptly give notice in writing to Latrobe City Council of any damage to, or defect in, the trailer/bikes/helmets.
  4. Any damage or loss of property in relation to the trailer/bikes will result in loss of the security bond.
  5. To ensure the trailer/bikes/helmets are maintained in the same condition as immediately prior to hiring them, save and except normal ‘wear and tear’.
  6. That it is my responsibility as hirer of the trailer/bikes/helmets to ensure that all users of the bicycles wear an Australian approved helmet when in control of bicycles.
  7. Failure to return the trailer/bikes/helmets punctually at the end of the booking time will result in forfeiture of the security bond.
  8. Latrobe City Council must be notified within fourteen working days - prior to the intended hire - if a booking is to be cancelled, failure to do so will result in a penalty being charged according to the current fees and charges.

I acknowledge and accept that if the hirer fails to abide by these conditions, Latrobe City Council will serve a notice requiring the hirer to make good any damage to the trailer or the equipment or, failing this, the hirer agrees to meet all reasonable costs incurred by Latrobe City Council, to repair and/or make good any damage to the trailer or equipment that occurred during the hiring of the Bike Education Trailer by the organisation I act on behalf of. Further, I/we have read a copy of the Conditions of Hire (as above).

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Name:

Signed:

Date (dd/mm/yy):

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Security Bond Refund - EFT Payment Form

Please complete the following form and return to:

Caroline Melhuish, Latrobe City Council, PO Box 264, Morwell Vic 3840

Fax: (03) 5128 5672

Email:

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Hire Information

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Organisation name (if applicable):

Contact name:

Address:

Phone (Business Hours):

Phone (After Hours):

Email:

Fax:

Bank name:

Bank account BSB

Bank account number:

Bank account name:

Page | 1

GDF – Suez Traffic School – Information Kit for schools and educational groups

Confidentiality

We will keep all information, pertaining to you and your nominated account at the financial institution, private and confidential

We will make reasonable efforts to keep any such information that we have about you secure and to ensure that any of our employees or agents who have access to information about you, do not make any unauthorised use, modification, reproduction or disclosure of that information.

We will only disclose information that we have about you:

  • To the extent specifically permitted by the law; or
  • For the purpose of this agreement (including disclosing information in connection with any query, dispute of claim); or

To verify details with your financial institution if required (e.g. BSB and bank account number)

Page | 1