MORE Drive

On Sunday 9th March we are staging ‘MORE Drive’ – an event aimed at reducing road accidents among 17 to 24-year olds. The event is being hosted at Millbrook Proving Ground and will give young drivers the opportunity to improve their driving skills through practical exercises and workshops to help keep them safe on our roads. The sessions run from 0900 – 1245 or 1300 – 1645.

To take part in the course, you will need to be aged 17-24 years old, hold a full driving licence and live in either Central Bedfordshire or Luton Local Authority areas.

The course is paid for by the two Local Authorities and is offered free of charge to people meeting the above criteria. Places are allocated on a first come first serve basis.                   If you are offered a place and then find that you cannot attend you must let me know at the earliest possible time and at the latest by 17.00 on Thursday 6th March. We reserve the right to recover the costs for any cancelled place that we cannot subsequently fill and for any late cancellations. The charge will be £150.

If you would like to apply, and meet these criteria please complete ALL sections of this form and return to:  Michelle Watkins, Amey, Manton Lane, Woodlands Annex, Bedford, MK41 7NU. Alternatively, you can scan and email them to roadsafety@amey.co.uk

MORE Drive

Name:                                                                                                                                           

Date of Birth: (DD/MM/YYYY)                                                                                                   

Gender: (circle)    Male        Female

Address (incl. Postcode):                                                                                                          

Telephone No:                                                                                                                           

Confirmation Email Address:                                                                                                  

Driving licence number:                                                                                                           

Where did you hear about the course?                                                                                

Emergency Contact on the day: Name:                                                                               

Relationship to you:                                                                                                                

Telephone No:                                                                                                                         

Data Protection Act 1998

Personal contact details obtained via forms will be stored securely and will only be used for communication purposes. We will not distribute, sell, trade or rent your personal information to third parties.  Statistical data obtained from questionnaires will be collated and aggregate data will be used in any reported outputs. Such statistical data will not include personally identifying information.

RELEASE FORM FOR UND ER 18’s

PHOTOGRAPHER:.................................................................................................

CHILDS NAME:.............................................

WHEN: on................................... (insert date)

WHERE: at................................................................................................ (location)

USAGE: For valuable consideration received I hereby grant Amey plc of The Sherard Building, Edmund Halley Road, Oxford OX4 4DQ (“Amey”), and Luton Borough Council, Town Hall, Luton, LU1 2BQ and any of its licensees or assignees, the absolute right to use my photograph(s), including any other reproductions or adaptions, whether in physical form or held electronically or digitally, from the photographic shoot for the above mentioned photographic short, but only for the Amey brand and solely and exclusively for: Magazines, Books, Calendars, Internet, Portfolios, Exhibition, Editorial, Advertising, or other use at Amey’s sole discretion.

AGREEMENT: I acknowledge by signing this form, and subject to restrictions stipulated and agreed, that I give up all claims of ownership, income, editorial control and use of the resulting photographs and assign all copyright ownership to Amey and Luton Borough Council and that no payment will be due. Use of the photographs may be granted to third parties, however the photographs will remain the property of Amey and Luton Borough Council. I agree to hand over to Amey on demand any copies or negatives of the photographs (whether in physical form or held electronically or digitally) which are in my possession or under my control. I have read this form carefully and fully understand its meanings and implications.

I acknowledge that by signing this form I give Amey full copyright and authority to publish my profile and photograph and agree with the terms listed above.

Signed (Parent/Guardian)................................................ date...........................

Print name

Signed on behalf of Amey UK plc

............................................................................    date...........................

Print name

Note: A child is a person under the age of 18 years.

MODEL RELEASE FORM

PHOTOGRAPHER:.................................................................................................

MODEL:.............................................POSITION/JOB TITLE.................…................ WHEN: on................................... (insert date)

WHERE: at................................................................................................ (location)

USAGE: For valuable consideration received I hereby grant Amey Communications (“Amey”) and Luton Borough Council, and any of its licensees or assignees, the absolute right to use the photograph(s) and any other reproductions or adaptions, whether  in physical form or held electronically or digitally, from the above mentioned photographic shoot, but only for the Amey brand and solely and exclusively for:

Magazines, Books, Calendars, Internet, Portfolios, Exhibition, Editorial, Advertising, or other use at Amey’s and Luton Borough Council’s sole discretion.

The photographs may be used to represent an imaginary person and any wording associated will not be attributed to me personally unless my name is used.

Any special restrictions must be agreed between Amey and model. I do not want....…..............................................................................

….....................................................................….................................to be included.

(Signatures).......................................Model......................................Photographer

Both parties should sign here to note and agree the restriction.

I acknowledge by signing this form and, subject to restrictions stipulated and agreed, that I give up all claims of ownership, income, editorial control and use of the resulting photographs and assign all copyright ownership to Amey and Luton Borough Council and no payment will be due. Use of the photographs may be granted to third parties, however the photographs will remain the property of Amey. I agree to hand over to Amey on demand any copies or negatives of the photographs (whether in physical form or held electronically or digitally) which are in my possession or under my control. I have read this form carefully and fully understand its meanings and implications.

I acknowledge that by signing this form I give Amey and Luton Borough Council full copyright and authority to publish the photographs and agree with the terms listed above.

I am 18 or over.

signed............................................................................    date...........................

MILLBROOK EVENTS INDEMNITY

I hereby agree to the following conditions, which will allow me to use the facilities at Millbrook Proving Ground:

1.                  I shall be responsible for the consequences of my own conduct, and personal safety, including whilst driving or being driven, during the whole of today’s event.

2.                  I agree to wear a seat belt properly fastened and to abide by the driving and safety requirements of Millbrook Proving Ground and the provisions of the Highway Code at all times whilst driving or being driven. I understand that unnecessary stops and deviations from the routes are not permitted.

3.                  I agree to follow the indicated routes and obey all instructions from Millbrook marshals and staff whilst driving. I understand that drivers who do not comply may be prevented from driving further at Millbrook Proving Ground.

4.                  I am a holder of a full UK driving licence (or equivalent), which I will produce on request.

5.                  Millbrook Events reserve the right to refuse an individual permission to drive their cars. All drivers and passengers are prohibited from consuming alcohol in the period leading up to and during driving such that it may make it unsafe to drive. In addition, you are prohibited from taking illegal drugs or medication, which may impair your ability to drive either before or during the event.

6.                  Except for injury or death due to negligence on their part, I indemnify Millbrook Proving Ground, their staff, agents and contractors against any loss or damage, however caused, sustained by my property or me during today’s event.

SIGNED:                                                                                                                                  

NAME:                                                                                                                                     

(PLEASE PRINT IN CAPITALS)

COMPANY:                                                                                                                              

DATE: