Parking Pass Form 2020-2021
The privilege of driving to school will be granted by the administration upon the completion of this form and the payment of $5.00 for the purchase of a parking permit.
Email address *
Student ID Number *
Last Name (as listed on Driver's License) *
First Name (as listed on Driver's License) *
Driver's License # *
The student has a valid code of conduct on file. *
Required
Vehicle #1 License Plate Number *
Vehicle #1 Year *
Vehicle #1 Make *
Vehicle #1 Model *
Vehicle #1 Color *
Vehicle #2 License Plate Number
Vehicle #2 Year
Vehicle #2 Make
Vehicle #2 Model
Vehicle #2 Color
Owner Of Vehicle(s) *
Name of Insurance Company *
Insurance Policy Number *
Parental approval is given for the student to drive to school. *
Required
We have read the regulations and agree to abide by the rules as set forth by the administration and Batesville City Police and approved by the Board of Trustees of the Batesville Community School Corporation. *
Required
The student, parent/guardian and owner of the motor vehicle, hereby consent to allow a search of this motor vehicle when there is reasonable cause for a search. Refusal by any of these individuals to provide or allow access to a motor vehicle on school premises at the time of a request to search the motor vehicle shall be cause for termination without further hearing of the privilege of bringing a motor vehicle on school premise. *
Required
Student Signature *
Parent Signature *
Submit
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