Group Booking Form

If no, MIDAS Trained Drivers Name. First Name* Last Name*
Self drive drivers are reminded, that all vehicles in the DART fleet carry an excess on insurance claims.

In the event of any or all incidents – ALL groups will be liable for the excess amount on DART’s vehicle insurance policy – this figure is subject to change (min £600).
No. of Passengers (max 16 - subject to bus availability & drivers licence category, please contact office to confirm) *

Passenger Details*

Passenger Details*

	Name	Address	W/C User	Transfer from w/c?	Walking Aid	Requires Tail Lift	Guiding assistance Required	Guide Dog
1 (passenger assistant)
2
3
4
5

Seats will need to be removed for wheelchair users, therefore reducing seating capacity. If you require more information about seat removals please contact the office.
The safety of our staff & users is our main priority, therefore, if you do not want social distancing to be maintained on board the vehicle, you MUST CONFIRM that your group has completed a risk assessment that includes passenger transport.

For our drivers safety, DART will maintain an 'exclusion zone' around our driver.

All of our Covid-19 safety protocols remain in place and will be enforced.
Has the group carried out a risk assessment which allows social distancing measures to be removed during passenger transport to and from group activities?*

YesNo
No. of Passengers (max 16 - subject to bus availability, please contact office to confirm, if you have wheelchair users, seats will need to be removed to accommodate them, therefore reducing seating capacity. If you require more information about seat removals please contact the office) *

Passenger Details*

No. of Passengers between 3-12 years of age (unfortunately, we are unable to carry children under the age of 3)
Seats will need to be removed for wheelchair users, therefore reducing seating capacity. If you require more information about seat removals please contact the office.

Group Representative Declaration

I can confirm I have read & understood the terms and conditions of vehicle hire outlined in the DART Transport Services policy document. By signing below I agree to abide by the terms and conditions of the same.

I accept that the organisation named above will be responsible for the payment of an insurance excess or repair in the event of a DART vehicle being damaged in an own fault incident.
Signature *

Clear
Date*

DayMonthYear
Date
DART vehicles returned late, unusable or in an unfit condition will incur a £25 fine (Booking Form Modified 01.04.2023)
Should be Empty: