Poynette High School Student Parking Permit Application
Parking Application for PHS Student Parking
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Email *
Student Name *
Student DOB *
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Drivers License # of the Student Applying for the Permit *
Student Grade *
Student Cell Phone *
Parent Name *
Make of Vehicle *
Model of Vehicle *
Year of Vehicle *
Color of Vehicle *
License Plate Number *
Owner of Vehicle *
Length of Parking Requested - PLEASE NOTE
If "Semester" or "Quarter" length of parking is requested, you will be required to provide payment to extend the length of your parking should you wish to continue to park in the high school parking lot at the end of the semester or quarter.  Failure to provide payment to extend parking will result in forfeiture of your parking permit.
Length of Parking Requested *
Student Acknowledgement
I have read and understand the parking guidelines for Poynette High School as found in the following link:  https://drive.google.com/file/d/1Lq0A-_j_Bo1oimYCBw6c0DYj603BPAsa/view?usp=sharing.  By signing, I agree to abide by the parking rules and guidelines and understand that this vehicle may be searched while parked on school property (as described in the Parking Guidelines).
Student Signature *
Date of Student Signature *
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Parent Acknowledgement
I have read and understand the parking guidelines for Poynette High School as found in the following link:  https://drive.google.com/file/d/1Lq0A-_j_Bo1oimYCBw6c0DYj603BPAsa/view?usp=sharing.  I accept the risk that comes with my child driving and parking at school.  I understand that the permitted vehicle may be subject to search while parked on school property (as described in the Parking Guidelines).
Parent Signature *
Date of Parent Signature *
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