new smyrna beach high school parking permit application 2016-2017 ...

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NEW SMYRNA BEACH HIGH SCHOOL PARKING PERMIT APPLICATION 2016-2017 SCHOOL YEAR DRIVER’S NAME (PLEASE PRINT) ________________________________________________________________________________ (Last) (First) ADDRESS______________________________________________________________________________________________________________ (Street) (City) (State) (Zip) HOME PHONE # ____________________________________________________________ EMERGENCY # ______________________________________________________________

PARKING SPOT # ___________

ALPHA CODE _______________________________________________________________ GRADE _______________________________________________________________________ BIRTHDATE _________________________________________________________________ MAKE OF VEHICLE __________________________________________________________ COLOR OF VEHICLE _________________________________________________________ TAG # _________________________________________________________________________ NAME VEHICLE REGISTERED TO __________________________________________ INSURANCE COMPANY NAME ______________________________________________ Parking on campus is a privilege!! Any of the following actions will result in loss of your parking permit. Vehicles are subject to search and to the Code of Student Conduct and Discipline. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

Parking in the wrong parking spot. Driving in a reckless fashion on or near school property. Use of vehicle in “skipping school” or to leave campus without checking out (including lunch time). Having a parking permit due to your job requirements, then lose your job. Driving without wearing a seat belt. Giving your parking permit to another student. Transporting another student off campus without proper approval. Five unexcused absences in one grading period. No lingering in the parking lot before school, during lunch or after school. Secure and lock your vehicle. Storage of illegal items in vehicle or truck bed is prohibited.

Please note the following: New Smyrna Beach High School is NOT responsible for any damage done to vehicles on campus. The cost of a parking permit is $40 for the school year. All obligations must be paid before a parking permit can be purchased. You must park your vehicle in the parking space assigned to you. Seniors will park in the Black Lot in front of the school. Juniors and sophomores will park in the assigned lot in the front of the school. Freshmen are not allowed to drive or park car on campus. Parking in either lot will be restricted to those with parking decals displayed in rear view mirror. I have read the above information and understand the benefits and limitations of purchasing a parking permit.

_________________________________________________________________________________________________________________________ Signature (Parent/Guardian) Date _________________________________________________________________________________________________________________________ Signature (Student) Date