Wajarri Drive Program Application Form

  • APPLICATION DECLARATION

    I agree to allow the Wajarri Liaison Committee to receive a copy of this application to make a determination of my eligibility to participate in this program.
  • I agree that my typed name above can be used as a digital representation of my signature to that fact.
  • Please tick appropriate box.
  • I understand that if I am accepted to participate in this program that I am required to give a minimum of 16 hours’ notice to the driving company representative if I am unable to attend any driving session organised for me.

    I also understand that if I fail to give notice and or do not attend a driving sessions I may be removed from the program.
  • I agree that my typed name above can be used as a digital representation of my signature to that fact.
  • For any application enquiries please contact the office on 08 9997 3444 or email members@wajarri.com.au