Shopmobility

Register before you arrive

Please complete the below pre-arrival form.

Register for Shopmobility

To make a Shopmobility booking please fill in the form below. Compulsory fields are marked with *

Please leave this field empty.

Medical Details

Please state the nature of your restricted mobility and any other relevant conditions that may effect the use of equipment:

RightLeft
YesNo
Under 18stOver 18st
YesNo

I agree:

  • Not to leave the vehicle unattended unless safely parked and locked
  • To ensure that the vehicle is used with due care and attention
  • Not to carry others whilst the vehicle is in my care
  • To return the vehicle in good condition at the time agreed
  • To reverse and manoeuvre around the centre with due care and attention
  • To acknowledge that vehicles do not have the right of way
  • That I have been instructed in the safe use of the vehicle
  • That I accept responsibility for my own safety and belongings
  • That the powered vehicles are switched off when not in use
  • That I have not been diagnosed as suffering from any condition that would prevent me from operating the powered vehicles
  • That powered vehicles should not be used under the influence of alcohol or illegal drugs
  • In the event of any damage being caused whilst using the equipment, I accept that I am liable for paying for the repairs
Click the checkbox to agree to these conditions.

All data given will be covered by the Data Protection Act 1984. None of my rights under this act are affected and my details will not be used for any other purpose without my permission.