By filling out this electronic form, I (student named below) agree to the terms and responsibilities stated below and on the back of this document in connection with obtaining authorization to use the school parking lot.

I understand that the parking lot is the property of Jefferson County Public Schools R-1. I agree that the car driven by me will not be used to transport or store illegal items on school property. I agree that I will not use the school parking lot to violate a criminal code or school rule.

In exchange for the privilege of parking on school property, I give school officials and/or school security personnel consent to search the car driven by me and the car’s contents at any time when it is parked on school property.

I authorize school officials and/or school security personnel to seize any item that violates a criminal law or school rule or provides evidence of a criminal law or school rule violation.

I understand that violations of these rules and/or the site based rules on the back of this document can lead to suspension or revocation of my parking privileges, fines, referral to law enforcement authorities and/or school disciplinary actions.