PACT 2022-2023 Student Parking Application  
Students must obtain a 2022-2023 parking permit to park in the PACT Charter School student parking lot.

To apply for a student parking permit, all of the information on this form must be filled out.

Priority for parking permits will be given to upperclassmen based on available space

Students may park ONLY in the designated Student Parking Area. (Student parking spots are in the west parking lot in the 1st row closest to Peridot Street). This parking lot will be monitored and vehicles in violation are subject to towing.

The parking permit must be prominently displayed in the rear window on the left side (when viewed from behind the vehicle.

For the safety of all PACT Charter School students, parking permits may be revoked if:
• A student is suspended and continues to park at school
• A student chooses to disregard crosswalks
• A student has incidents of speeding or reckless driving on or around school property
• A student parks in undesignated areas
• A student’s license and/or insurance has been revoked
• A student’s parking privileges cause disruptions in some other way.

It is the student’s responsibility to provide current and accurate information in regards to their license and insurance.  The office should be notified of any changes as soon as possible.  

UNAUTHORIZED VEHICLES MAY BE TOWED AT THE OWNER’S EXPENSE.

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Student Last Name *
Student First Name *
Grade *
PSEO Student *
What periods do you do you have classes at PACT? *
Please Check all school day periods you will be at PACT.
Required
Student Phone Number *
Student Drivers License Number *
Parent/Guardian's (Father) Name *
Parent/Guardian's (Father) Phone Number *
Parent/Guardian's (Mother) Name *
Parent/Guardian's (Mother) Phone Number *
Vehicle Make *
Vehicle Model *
Vehicle Color *
Vehicle Year *
Vehicle License Plate *
I have read and agree to follow PACT Charter School’s Parking Policy.  I understand that being able to drive and park at school is a privilege, not a right.  I understand that my parking permit may be revoked for violation of the Student Parking Policy. *
Student Full Name
I have read and agree to follow PACT Charter School’s Parking Policy.  I understand that being able to drive and park at school is a privilege, not a right.  I understand that my parking permit may be revoked for violation of the Student Parking Policy. *
Parent/Guardian Full Name
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