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Medical and Health Information
The following requirements are essential for your safety:
The recommended maximum weight to operate the Minimo Plus is 16 stone.
You should be able to read a vehicle number plate from 6 metres and have no significant visual impairment that would prevent you from reading safety signs, avoiding obstacles or other hazards.
You should have sufficient upper body strength, upper limb mobility and hand dexterity to grip both handlebar grips securely and operate the twist grip.
You should consult your doctor before using the mobility scooter if:
You have a medical condition that causes / could cause seizures or convulsions; or that affects / could affect your memory, level of consciousness or alertness, balance, mood, or anxiety levels
You have a history of back problems or spinal conditions
Learning difficulties or developmental conditions:
Mobility scooter users must have sufficient learning abilities to understand information presented to them by the Access the Dales Hub Coordinator, be able to operate & safely control the Minimo Plus, identify & avoid hazards, & to react to changes in the surrounding environment.
Terms and Conditions of Use
I understand I am responsible for my own safety, that I must use the Minimo Plus as instructed by the Access the Dales Hub Coordinator and with regard for the safety of other visitors.
I understand that I can only use the Minimo Plus on recommended routes that have been safety audited and provided to me in advance & reviewed with the Access the Dales Hub Coordinator at the hire location. If I choose to take the mobility scooter on any other routes or areas, I understand this may affect my safety and do this entirely at my own risk.
I confirm I have received and read the potential hazards for the approved routes and understand that the route conditions may change depending on the weather.
I understand that I will need to be accompanied by a non-disabled person at some sites
If using the mobility scooter unaccompanied, I will carry a working mobile phone and emergency telephone number for the Access the Dales Hub Coordinator.
I am 14 years of age or older. If I am under 14 years old, I will always be accompanied by a parent, guardian, personal assistant, or carer when using the Minimo Plus. This is regardless of whether a site permits users to be accompanied.
I understand Access the Dales provides third party insurance and that this insurance is only valid if I abide strictly to the Terms & Conditions of use.
In the event I cause accidental damage or injury to third party property and need to make an insurance claim but can claim under another policy, I understand Access the Dales will only pay a share of the claim and that I must supply Access the Dales with the name and policy number of my insurance company.
I agree not to use the Minimo Plus when under the influence of alcohol, drugs or medication which could affect my ability to safely operate the scooter.
I agree not to do anything to the mobility scooter.
I will not allow anyone else to use the mobility scooter, carry passengers or animals, or be in control of a pet on a lead (registered Assistance Dogs permitted).
I agree to notify the Access the Dales Hub Coordinator of any incident, accident, damage, or operational difficulty involving the Minimo Plus and complete a statement detailing the circumstances.
I will return the Minimo Plus within the agreed time and understand that failure to do so will initiate emergency/recovery procedures.
I agree to leave either photo ID or car keys for security with the Access the Dales Hub Coordinator, which will be returned to me when I return the Minimo Plus in the same condition as when it was issued.
I agree not to leave the mobility scooter unattended, unless I have removed the key and kept it with me, and it is not causing an obstruction.
I agree to pay the full cost of any necessary repairs resulting from misuse of the Minimo Plus.
Hirer’s Full Name: ………………………………………………………………….………..
Hirer’s Signature: …......................................................................................................
Name of parent/guardian/carer if under 14 : .............................................................
Parent/Guardian/Carer Signature: ..............................................................................
Date : ...................................................................
Address: …....................................................................................................................
…...................................................................................................................................
Telephone : ..................................................................................................................
Email : ..........................................................................................................................
Richmond Swimming Pool, Old Station Yard, DL10 4LD t : 01748 824581 e: 01748 824581
https://richmond-swimming-pool
Signed
Access the Dales
Debbie North 3 Birkby Cottages, Northallerton, DL7 0EG Registered Charity No. 1199934 t: 07715-964621 e: accessthedales@hotmail.com www.access-the-dales.comAccess the Dales Hire Hub – Richmond Swimming Bath