2019-20 MHS Parking Registration

Students,

Please fill in all required fields.

In order to receive your parking pass, all student fees must be paid in full at time of purchase. The purchasing process begins July 22, 2019.

If you have any questions, please contact Annette Wood, A14 (513)398-5025 #30100.

Please Note:
-Submission of application does not guarantee a parking pass for the 2019-20 school year.
-Applications will be processed by grade level and this registration's time stamp, not when payment is received.
-Parking passes are not transferable. If you sell or give your parking pass away, both you and the recipient lose parking privileges for the remainder of the school year

Please type in email address to assure you get confirmation email.

Email address *
Student ID *
Your answer
Student Last Name *
Your answer
Student First Name *
Your answer
Graduation Year *
Driver's License Number
Optional but due at the time of payment; You must have a permanent license to purchase a pass.
Your answer
Primary Vehicle Make *
Example: Ford
Your answer
Primary Vehicle Model *
Example: Escape
Your answer
Primary Vehicle Year *
Your answer
Primary Vehicle Color *
Primary Vehicle License Plate # *
No Spaces Please
Your answer
Secondary Vehicle Make
Your answer
Secondary Vehicle Model
Your answer
Secondary Vehicle Year
Your answer
Secondary Vehicle Color
Secondary Vehicle License Plate #
No Spaces Please
Your answer
If you cannot purchase your pass by August 26, 2019 request an extension here. Passes are not held after November 1 but your timestamp will also determine you place on the waitlist after your requested date.
You will receive an email confirming approval of your new deadline. It is your responsibility to remember the deadline and to purchase you pass by that date. Failure to do so will result in the spot release and reassigned to a student on the wait list.
MM
/
DD
/
YYYY
You must acknowledge the following regulations: *
1. I understand that I will not be permitted to go to my vehicle during school hours unless permission is granted by an administrator and accompanied by school personnel.
Parking Locations & Pass Display *
2. I understand that students found parking without a permit, in an unassigned space/area, or fail to display their permit are subject to school consequences.
Safe Driving *
2. I understand that I must drive in a safe & responsible manner. Speed Limit in all lots is 5 mph. Failure to abide by this regulation will result in a two week suspension of parking privileges. Repeat offenders will have a permanent loss of privileges.
Suspended Licenses *
3. I understand that any student driving a vehicle to school with suspended/revoked privileges will be subject to additional disciplinary actions.
Passes are not transferrable *
4. I understand that passes are registered to one student and are not transferable. If a student sells a parking pass, both the seller and recipient lose parking privileges for the school year.
Lost Passes *
5. I understand there will be a $25.00 fee to replace lost parking passes.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Mason City Schools. Report Abuse - Terms of Service