Reclink Australia Form

Participants Information

First Name *

Surname *

Date of Birth (Age 16-24) *

Mobile Phone Number *

Email Address *

Address *

Suburb *

Gender *

Identifies as *

Licence & Training

How many years has the Participant held their Learner’s Licence? *

How many driving hours has the Participant completed? *

Has the Participant completed 3 professional driving lessons? *

Does the Participant currently attend school or study? *

Declaration

This declaration sets out the terms and conditions for participation in the Road Ready initiative, delivered by 5FOLD in partnership with Reclink Australia.

Agreement and Acknowledgement

Indemnity: Reclink Australia indemnifies 5FOLD and Road Ready against all claims, damages, liabilities, costs or expenses that may arise from the participation of its referred participants in the Road Ready initiative.
Program Delivery: If a participant is accepted into Road Ready, Reclink Australia acknowledges that 5FOLD will provide practical driving support lessons, theory-based driving education, and road safety workshops.
Lesson Arrangements: All learner drivers must meet at the 5FOLD premises to commence their lessons and use the individual log in details to book lessons. Learners are responsible for making their own way home after the lesson.
Binding Agreement: Reclink Australia, participants and parents/carers agree to be bound by this declaration and the agreement signed at induction.
Liability Clause: 5FOLD and Road Ready accept no liability for any injury, loss or damage sustained by participants, parents/carers or third parties arising out of or in connection with participation in the program, except to the extent caused by the proven negligence of 5FOLD or Road Ready.
Licence Outcome: Participation in the Road Ready program does not guarantee the learner driver will obtain a driver’s licence.
Mentor Standards: Road Ready provides trained volunteer mentors who have current police checks and hold a valid Blue Card authorising them to work with minors.
Participant Behaviour: Reclink Australia participants must conduct themselves in a calm and respectful manner at all times. Road Ready mentors reserve the right to refuse or discontinue lessons if a participant displays aggressive, disrespectful or violent behaviour. No refunds will be issued in such cases.
Eligibility: A valid learner licence and logbook must be presented before any support lesson can commence.
Drug and Alcohol Policy: Road Ready maintains a zero-tolerance policy for illicit drugs and alcohol, including prescribed medication that may impair driving ability. Mentors may cancel or reschedule a lesson if a participant is deemed unfit to drive.
Driving Test and Infringements: Road Ready does not accept responsibility for the outcome of any driving test. Road Ready is not liable for any traffic infringements, fines or penalties incurred by the participant during a test or lesson. These remain the sole responsibility of the learner driver or their legal guardian.

Where the participant is under 18 years of age, Reclink Australia confirms that it has obtained the consent and authority of the parent or legal guardian to act on their behalf in all matters relating to participation in the Road Ready initiative.

I declare that I am authorised to act on behalf of Reclink Australia in relation to this participant’s enrolment in the Road Ready initiative and confirm the information provided above is true and correct to the best of my knowledge and I agree that I may be contacted by 5FOLD regarding the Road Ready initiative. I also understand that this information will be held by 5FOLD in accordance with the Privacy Act 1988 (Cth).

Reclink Australia Representative Information

Reclink Australia Representative Name *

Reclink Australia Representative Position *

Reclink Australia Representative Contact Number *

Reclink Australia Representative Email *

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Reclink Australia Form