ELLCGA Transportation Policy Consent Form

Name…………………………………………

Phone number ………………. email ………………………

I am asking permission to use a Golf Buggy at

Event………………………………………………………………….

Date ………………….

Club …………………………………………………….

I am unable to walk the 18 holes due to the following reason …………………………………………….

I am over 18 years of age.
I need a driver for the buggy.

I would like to use a golf buggy and by signing this form, I agree to all the following conditions.

I will operate the golf buggy with the utmost courtesy, care and consideration for the safety and convenience of others and in accordance with any relevant golf buggy operating guidelines.

The Committee may require that a golf buggy must not exceed walking pace.

The golf buggy shall be for the sole use of myself and my equipment, or where appropriate the caddie unless a member of the Committee has deemed that for appropriate reasons, a third party is required to drive the buggy.

I will not impede or interfere with normal pedestrians or vehicular traffic flow on roadways, ramps and pavements.

I will remain seated at all times.

I will comply with all requests or instructions regarding the use of the buggy issued by the Golf Club and manufacturers who have supplied the buggy.

I will obey all directional signs and will not drive on any prohibited areas including public highways and pavements.

I will accept responsibility for any losses or injury sustained when it is my fault whilst using the golf buggy.

I must have adequate personal and third party insurance to use the golf buggy.

I agree to the terms and conditions contained in this ELLCGA Transportation Policy Consent Form.

Signed …………………………………………… Date ………………

Agreed/Not agreed by ………………………….. role on ELLCGA Committee date …………………