Hartley Wintney Parish Council

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HARTLEY WINTNEY COMMUNITY BUS - Individual Registration Form 2018

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You MUST register to use the Hartley Wintney Community Bus before you use the service. Once registered you will receive a membership card which must be presented to the driver when using any of the timetabled or the door to door services. Please complete this form and return the Administrator at: Hartley Wintney Community Bus. Parish Office, Appleton Hall, West Green Road, Hartley Wintney, Hampshire. RG27 8RE. Tel: 01252 849712

Please use block capitals.

Emergency Contact Details (For those under 16 or using the Door to Door services ONLY) This information will only be used in an emergency, e.g. passenger falling ill whilst using our service

For DOOR TO DOOR SERVICES ONLY Please advise if you have any preferred destination, day or time to travel and we will try to accomodate you where possible.

How we use your information Hartley Wintney Parish Council (HWPC) requires your permission to store and use your personal data. Please confirm by ticking each box that applies below if you give consent for HWPC to retain your information to register you for the community bus, to use your information for the stated reasons and to contact you in the following ways:

Under the General Data Protection Regulations you have the right to withdraw any consent you have given for HWPC to hold your personal information at any time. To withdraw your consent please contact us in writing to: Mandy Smith, Community Bus Administrator, Hartley Wintney Parish Council, 1st Floor, Appleton Hall, West Green Road, Hartley Wintney, RG27 8RQ, email: This email address is being protected from spambots. You need JavaScript enabled to view it. (please note that your request will be processed as soon as possible and a confirmation email or letter will be returned to you within 7 working days).

Please note: The information you have provided in this form is stored electronically on the HWPC community bus database. Your personal details will not be passed to any third party or used for any other purpose unconnected to the HWPC Community Bus, such as spam or promotional information.

Terms and Conditions of Service

I confirm that:

All the information I have supplied is accurate; I will inform Hartley Wintney Parish Council of any changes in my circumstances which may affect my eligibility to use the community transport service.

I live and/or work in Hartley Wintney or the adjoining parishes and confirm that my public transport needs are not met other than by virtue of the services provided by Hartley Wintney Parish Council Community Bus Service.

I consent to Hartley Wintney Parish Council sharing the information I provide with Hampshire County Council as the major funder of these services.

I accept that, when deemed necessary, a risk assessment relating to my safety when travelling will be carried out. I understand that there will be a charge for using the Community Bus and agree to pay the appropriate fare. Payment may be made on the vehicle at the commencement of the journey or in advance.

I understand that certain routes on the Community Transport Scheme are operated under a Section 19 permit and as such I can only use the bus once I have registered with the Parish Council and am in receipt of a registration card. In order to verify this to the driver I will produce my card at the commencement of my journey. The driver will not allow passengers to travel if they have not registered to use the service.

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Copyright Hartley Wintney Parish Council | Parish Office, Appleton Hall, West Green Road, Hartley Wintney. Hook, Hampshire. RG27 8RQ