J. H. Rose High School Student Parking Pass Registration Form 2016-17
We are pleased to be able to offer student parking as a privilege to our licensed student drivers at J. H. Rose High School. Students must pay the yearly instructional fee and locker fee at the cost of $11 before applying to purchase a parking pass. The cost of the parking decal is $50.00. Please complete the information requested below. Once you complete the form below you will then need to bring your driver license and vehicle registration to the school. Copies of both will be kept on file. Payments may be made by check or cash for the total of $61 (instructional, locker, and parking decal fee).
Student Last Name
Your answer
Student First Name
Your answer
Grade
Home Phone
Your answer
Alternate Phone
Your answer
Parent / Guardian Name
Your answer
If you are enrolled in scheduled academic courses or activities that require you to arrive after 8:25a.m. or depart prior to 3:34P.m.(Allied Health, Honors Med, etc.) please list the title of the scheduled course:
Your answer
Vehicle Make and Model
Your answer
Vehicle Color
Your answer
License Plate #
Your answer
Please list vehicle make, model, color and licemse plate number for any alternative vehicle you may drive when you are not driving the above listed vehicle:
Your answer
Selecting your parking space number. Pick your top choice.
Due to limited availability, your first choice of parking spaces may not be available at the time of your request. Please list your parking space in order of preference. If no choices are listed you will be randomly assigned a parking space. East Lot #1-Front Student lot near Arlington Blvd. (Spaces 1-187) East Lot #2-Rear lot near the Performing Arts Center. (Spaces 188-452)
Your answer
Parking spot choice two
Your answer
Parking spot choice three
Your answer
You must be a licensed driver and be properly insured in order to operate a motor vehicle on campus. Parking decals will be issued only to students currently licensed to drive in North Carolina. Students will be required to present a valid North Carolina drivers license and vehicle registration card upon request of a parking decal.
Each student driver must park only in the space assigned to him/her. At no time will a student be permitted to park in any other area during the regular school day. Parking in space assigned to other students, in faculty/staff parking lots, in designated visitor areas, or in the bus parking/loading area is strictly prohibited. Towing will be enforced when ever deemed necessary at the expense of the student who is in violation.
Students are not to drive or to park vehicles in the bus parking lot between 8:00 a.m.‐3:50 p.m.
Cars should be parked with the parking tag clearly displayed on the center rear view mirror mount (decal should be facing the front windshield and viewable from the front of the vehicle.
The speed limit when entering and exiting the campus parking lots is 10 M.H.P. Careful attention and consideration should be given to pedestrians while driving on campus. Driving over curbs and/or around barriers/gates will result in the loss of parking privileges. Passing other vehicles while driving on campus is strictly prohibited. Careless & Reckless driving will not be tolerated on the campus of J.H. Rose High School. You will be subjected to any legal consequences.
By electronically signing my name below, I, the student, acknowledge I have read and agree to the parking rules and regulations established by J.H. Rose High School. I understand that abuse of any of these provisions may result in towing, fines, and/or revocation of parking privileges for the remainder of the school year. I further understand that J.H. Rose High School may revoke parking privileges as a disciplinary consequence or violation of local school rules. I am aware that school administration reserves the right to inspect the interior and exterior of the vehicle while parked on campus. I understand and agree to abide by each and all parking regulations outlined by J.H. Rose High School.
Student First and Last Name
Your answer
By electronically signing my name below, I, the parent, acknowledge I have read and agree to the parking rules and regulations established by J.H. Rose High School. I understand that abuse of any of these provisions may result in towing, fines, and/or revocation of parking privileges for the remainder of the school year. I further understand that J.H. Rose High School may revoke parking privileges as a disciplinary consequence or violation of local school rules. I am aware that school administration reserves the right to inspect the interior and exterior of the vehicle while parked on campus. I understand and agree to abide by each and all parking regulations outlined by J.H. Rose High School.
Parent First and Last Name
Your answer
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