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Rotorua SDA School Van Booking Form
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* Indicates required question
Email
*
Your email
Hireage contact - please give name and mobile contact number.
*
Your answer
Please select your hireage rate:
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$20 per day (bond is at the school's discretion)
Maranatha SDA Church
Rotorua SDA Church
Current mileage rate is $0.34 per km
(based on Tier 2, IRD Mileage rates 2023)
Approximations of pricings to pay:
Rotorua to Tauranga = approx 124kms $43
Rotorua to Hamilton = approx 226km $77
Rotorua to Auckland = approx 460km $157
Rotorua to Palmerston North = approx 670kms $228
*
Yes, I agree for invoice based on van mileage recordings for before and after use.
Booking date
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MM
/
DD
/
YYYY
Booking Time
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Time
:
AM
PM
Return date
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MM
/
DD
/
YYYY
Return time
*
Time
:
AM
PM
Please confirm that you have read the
Rotorua SDA School Van Policy
*
Yes, I have read the Rotorua SDA School Van Policy.
No
What is your direct relationship the school or our Rotorua Adventist Churches?
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Your answer
Please confirm you, or the driver, are over 26 years of age (for insurance purposes).
*
I am over 26 years of age.
I can confirm the driver of the school van will be over 26 years of age.
Please email a picture of your current drivers license to principal@sda.rotorua.school.nz. This must be for the driver of the school van.
*
Yes, I have emailed a picture of the driver's license to
principal@sda.rotorua.school.nz
The van will at all times be used in accordance with any and all road rules that are applicable for this type of vehicle
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Yes, I agree.
The driver and/or passengers will use the van for the sole purpose for which it was required. Any evidence that it is being used for other purposes will result in restrictions being placed on the person/s concerned.
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Yes, I agree.
Any speeding fines or traffic infringements and insurance claim excess incurred while driving the van will be the responsibility of the driver.
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Yes, I agree.
Maximum seating capacity of 12 seats is at no time to be exceeded.
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Yes, I agree.
All payments for use of the school van are to be made prior to travel unless other arrangements have been made.
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Yes, I agree.
Wearing of seatbelts is compulsory.
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Yes, I agree.
All children requiring a booster a seat must be seated in the back of the vehicle.
According to NZ child restraint regulations all children must use an approved booster seat or restraint.
*
Yes, I agree.
A copy of your responses will be emailed to the address you provided.
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