Dear Parent(s) and/or Guardian(s): - Unionville High School
Dear Parent(s) and/or Guardian(s): - Unionville High School
Dear Parent(s) and/or Guardian(s): - Unionville High School
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<strong>Unionville</strong> <strong>High</strong> <strong>School</strong><br />
Student Parking Permit Application 2012-2013<br />
Permit # __________<br />
Parking Fee : $100 per semester (pr<strong>or</strong>ated) cash <strong>or</strong> check to “UHS Activities”<br />
Student’s Name: _______________________________________________________________<br />
Grade: _________<br />
Address: _______________________________________________________________<br />
________________________________________________________________<br />
Phone #s _____________________________ ______________________________<br />
Home <strong>Parent</strong>’s W<strong>or</strong>k<br />
Driver’s License # ______________________________________________________________<br />
............................................................................................................................................................<br />
Primary Student Vehicle Inf<strong>or</strong>mation:<br />
Make & Model ______________________ Col<strong>or</strong> ___________ License # ______________<br />
Make & Model ______________________ Col<strong>or</strong> ___________ License # ______________<br />
Name of Insurance Company ________________________ Policy # ___________________<br />
............................................................................................................................................................<br />
It is m<strong>and</strong>at<strong>or</strong>y at the time of application f<strong>or</strong> the student to present their valid driver’s license,<br />
registration card, <strong>and</strong> insurance card.<br />
I have read <strong>and</strong> agree to comply with all regulations that have been adopted by the <strong>Unionville</strong>-Chadds<br />
F<strong>or</strong>d <strong>School</strong> Board governing the use of vehicles on <strong>Unionville</strong> <strong>High</strong> <strong>School</strong> grounds (attached). A<br />
student’s driving privilege will be revoked f<strong>or</strong> the remainder of the school year if a student: (1)<br />
accumulates five unexcused lates to school in a given semester; (2) fails two <strong>or</strong> m<strong>or</strong>e course during a<br />
marking period; (3) lends their parking permit to another student; (4) has unexcused lateness to school<br />
following second period;; (5) failure to bring in required Doct<strong>or</strong>’s note;; (6) cutting school/truancy;; (7)<br />
leaving our building <strong>or</strong> grounds without permission; (8) reckless driving on school property (at any time);<br />
<strong>and</strong> (9) any level “F” offense.<br />
Assignment of a parking permit number indicates approval by the school f<strong>or</strong> this automobile to be parked<br />
on school grounds. It is further assumed that the student will follow all rules <strong>and</strong> regulation pertaining to<br />
the safe operation of a mot<strong>or</strong> vehicle on school grounds. Failure to do so will result in the loss of this<br />
privilege. Student vehicles parked on school property are subject to search.<br />
<strong>Parent</strong> Signature ___________________________ Student ___________________________