Student Parking Permit Registration Form 2020-2021

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This form is an application for a student parking permit on campus. Completing this form does not guarantee you will be able to purchase a permit but rather a tool to collect information.

Email *

Student Driver: Last Name, First Name *

Grade Level (August 2020) *

Sophomore

Junior

Senior

What county do you reside in? *

Cuyahoga

Geauga

Requirements of Student Drivers (Check each box, indicating you understand) *

Valid Ohio Driver's License- Must present to the school at time of purchase

Parental Consent

School Consent

Adequate Insurance coverage

Vehicle should be able to pass a safety check

All forms completed and signed in FINAL FORMS

All fees paid in full

Driver should arrive in parking lot at least 10 minutes before class.

Required

Vehicle #1 Make *

Vehicle #1 Model *

Vehicle #1 Color *

Black

White

Blue

Red

Grey

Other:

Vehicle #1 License Plate Number *

Vehicle # 2 Make

Vehicle #2 Model

Vehicle #2 Color

Black

White

Blue

Red

Grey

Other:

Clear selection

Vehicle #2 License Plate Number

I understand that driving on school grounds is both a privilege and a responsibility. *

Yes

Driving Privileges may be removed for the following reasons (check each box indicating you understand) *

Driving recklessly and thoughtlessy on school property

Leaving the school grounds without permission

Driving faster than 10 miles per hour in the immediate vicinity of the school buildings

Failing to observe traffic rules and regulations while traveling to and from school.

Driving a vehicle that would not pass a safety check.

Being in the parking lot during the day without authorization

Excessive tardies and/or absences

Violation of existing school policies

Failure to display the school parking permit (Vehicle may be immobilized until parent/guardian is present)

Failure to park in their designated area (Vehicle may be immobilized until parent/guardian is present)

Required

I understand that I may lose my driving privilege by violating any of the above conditions. *

Yes

Parking on Campus (check each box indicating you understand) *

With reasonable suspicion, the school administration reserves the right to search a student's car on school property or at a school activity, with or without the cooperation of the student. Items in the car are deemed to be in possession of the student.

The Chagrin Falls Exempted Village School District is not responsible for any damage that occurs on premises to any student's vehicle or to personal property inside the vehicle.

Required

Student: By signing below, you are agreeing to the requirements and guidelines as they pertain to Student Drivers and testifying that the information you provided is accurate. *

Parent: By signing below, you are agreeing to the requirements and guidelines as they pertain to Student Drivers and testifying that the information you/your child provided is accurate. *

A copy of your responses will be emailed to the address you provided.

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