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home / Buggy Request Form

Buggy Request Form

By submitting this form you agree to comply with the Kent Golf Transportation Policy and you consent to Kent Golf processing and storing the personal data contained herein for the purpose of administering competitions and processing your request to use a golf buggy.
This form should be submitted to Kent Golf as part of a request to use a golf buggy in a Kent Golf competition. This form does not constitute proof of authorisation to use a golf buggy in competition. Successful applicants will receive a notification from Kent Golf as proof of their authorisation to use a golf buggy in competition.
Please note that you cannot obtain permission to use a golf buggy for temporary injuries including broken bones, pulled or damaged muscles or ligaments, or any other injuries unless they have/will last more than 12 months.
Kent Golf’s approval to use a buggy shall be valid for the duration of the event(s) specified in the notification of approval to use a buggy.
Any expense incurred for completing this form and delivering it to Kent Golf is the responsibility of the Player.

Please note that Kent Golf requires all of the questions below to be answered in order to make a decision regarding your request to use a golf buggy. Please select your response as appropriate.

Q1. Do you experience symptoms of, or suffer with a physical or mental impairment? Yes
No
Please provide details of your physical or mental impairment.
Q2. Does your impairment have a substantial adverse effect on your ability to carry out day to day tasks? Yes
No
Q3. Does your impairment have a substantial adverse effect on your ability to walk long distances, carry golf clubs, or otherwise play a round of golf? Yes
No
Q4. Have you experienced symptoms of the impairment for a period of over 12 months? Yes
No
Q5. Is your impairment permanent or temporary? Permanent
Temporary
Q6. If your impairment is temporary, is it expected to last longer than 12 months in total? Yes
No
PLAYER'S DETAILS
I, (insert name)
of (Address)
CDH Number
request the use of a golf buggy for Kent Golf events as a reasonable adjustment for a disability within the meaning of the Equality Act 2010 for the following event:
Event Name and Date:
STATEMENT OF TRUTH
I confirm that the information contained in this document is, to the best of my knowledge, a true and accurate reflection of my medical circumstances as of the date of this form.
I acknowledge that I may be disqualified, face penalties and sanctions, have the buggy certificate revoked, and/or face disciplinary action if any information in this form is deemed to be false or incorrect.

Signed
Date
Email
Phone
Confirm

Contact

office@kentgolf.co.uk

The Secretary
Kent Golf Limited
Suite 5 Letraset Building
Wotton Road
Kingsnorth Industrial Estate
Ashford, TN23 6LN

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