CSH Parking Application 2023-24
By filling out this electronic form, I (student named below) agree to the terms and responsibilities stated below.
 
-I understand that the parking lot is the property of Jefferson County Public Schools R-1. I agree that the vehicles listed on this form, primarily driven by the student whose name is listed below, will not be used to transport or store illegal items on school property. In addition, I agree that the vehicles listed, or any vehicle registered to this household, will not use the school parking lot to violate a criminal code or school rules.

--In exchange for the privilege of parking on school property, I give school officials and/or school security personnel consent to search the vehicles listed below, or any vehicle registered to this household, as well as the vehicle’s contents when it is parked on school property.

--I authorize school officials and/or school security personnel to seize any item that violates a criminal law or school rules or provides evidence of a criminal law or school rule violation.

--I understand that my hang tag may be confiscated in the event of an actual or suspected violation of school rules, or for false /lapsed information provided on this form, and that I must willingly surrender it and meet with an administrator to discuss the violation.

--I understand that violations of these rules and/or the site-based rules at the end of this form can lead to suspension and/or revocation of my parking privileges, fines, referral to law enforcement authorities and/or school disciplinary actions.

--I understand that to purchase a pass I cannot have any outstanding parking tickets.

--I understand that to purchase a pass I cannot have any other school fines over $200.

--I understand that all information I give will be accurate and be kept up to date this school year.
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Site Based Rules and Expectations
1. All vehicles driven to school must be registered with the school and the  student parking permit must be displayed in a location clearly visible from the outside of the vehicle.
2. Speed limit on school grounds is 10 MPH in parking lots. Operating a vehicle in a dangerous or reckless manner on school grounds or in the immediate neighborhood may results in a possible suspension and/or revocation of parking privileges.
3.Student parking permits are not approved to be used in faculty lots, reserved, or visitor spaces. Hang tags are specifically assigned and are not permitted to be transferred to any other vehicle other than those on this sheet at any time or for any reason, including their use at Warren Tech.
4. Students are not allowed to loiter in the parking lots or vehicles before, during, or after school hours.
5. Parking in fire lanes, no parking zones and/or restricted areas is prohibited.
6. Violations of rules and expectations may lead to fines, parking boot, or towing as well as law enforcement involvement and school disciplinary consequences.
7. Spaces in the student lot are not assigned and are available to all CSHS students with a valid driver's license and valid parking permit. Spaces are on a "first come, first serve" basis. No pre-buying for those who do not without a current driver's license.
8. Report a concern, accident, or vandalism to a campus supervisor immediately.

Note: Students have ten (10) days to dispute or contest any fines. Failure to contest a fine within ten (10) days will lead to the imposition of the fine. Fines shall be paid within thirty (30) days and it is the students responsibility to communicate with parents any fines and/or any school or police consequences.

Jefferson County Public Schools and Chatfield Senior High School assume no responsibility for any damage to vehicles parked on school property or the loss of any articles contained therein. Failure to comply with with the terms of this agreement can result in the revocation of parking privileges without refund, disciplinary consequences, or referral to police.
Student Information
Student Last Name *
Student First Name *
Grade *
Date of Birth *
YYYY
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MM
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DD
Student ID number *
Address *
Insurance Issuer *
Insurance Card Policy Number *
Vehicle 1
Vehicle #1 Make *
Vehicle #1 Model *
Vehicle #1 Color *
Vehicle #1 Year *
Vehicle #1 License Plate Number *
Vehicle #2
Vehicle #2 Make
Vehicle #2 Model
Vehicle #2 Color
Vehicle #2 Year
Vehicle #2 License Plate Number
Acknowledgements
I (enter student name below) understand and agree to all the above terms. *
Today's date *
YYYY
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MM
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DD
I (enter parent name below) understand and agree to all the above terms. *
Today's date *
YYYY
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MM
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DD
Feel free to print a copy of this application for your records prior to clicking "Submit"
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