Montefiore Parking Pass Form
Montefiore parking passes are available for commuters and those students whose rotations begin before shuttle times. They are given out on a first-come, first-served basis.

Parking passes can only be used for one rotation at a time. If you request for longer then ONE rotation period you will not be given a pass.

We require students to leave a security deposit of $100.00 using your credit card information which will ONLY be charged if you do not return the Parking Pass on the date arranged.

If you see that you will not be able to bring it in on time please let the Office of Student Activities know immediately.

Time cannot be extended for parking passes.

Once a parking pass becomes available, you will be notified by Jessica Lucas.

Parking Lots & Hours
3520 Wayne Ave lot – open 6:00am-7:00pm
3341 Steuben Ave lot – open 6:00am-9:00pm

Name:
Your answer
Email Address:
Your answer
Class Year:
Your answer
Are you a commuter?
Reason for Needing a Pass
What rotation do you need the pass for?
Your answer
Start Date:
MM
/
DD
/
YYYY
Time
:
End Date:
MM
/
DD
/
YYYY
Time
:
Preferred Lot:
Please enter your card information below
Enter card number
Your answer
Expiration Date
Your answer
Disclaimer
Our office has been given the privilege of having 6 parking passes to assist 3rd and 4th year students during their rotations at Montefiore. These passes are to be used for only 1 rotation and are irreplaceable. By accepting this parking pass you agree to the terms/ conditions to have your debit/ credit card charged a $100.00 penalty fee if you do not return your parking pass at the end of your rotation. Parking pass fines will double if not returned by May 18th, 2018.
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