2020-21 Parking Tag Application

1. Fill out the following form as completely and accurately as possible.
2. Ensure you are up to date on all other school based fees and fines.
3. There will be no charge for parking passes for first semester; however, all students must register their vehicles if they want to park them in the RVHS lots.

Email address *
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.
Student Last Name *
Student First Name *
Grade *
Date of Birth *
Ex: 01/01/1990
Driver's License Number *
Address *
City *
State *
Zip Code *
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