Parking Registration and Information Form
I do hereby give my authorization to allow my child to drive to school. I understand that
by doing so, my child will abide by the following:

1. A parking fee of $25.00 per semester must be attached. This can be prorated at
$12.50 per quarter.

2. All vehicles are to be parked in the assigned space until the end of the day.
Students must park in their assigned space only. Students may not park
in a space that is not numbered, or in another numbered space, even if it
appears to be unoccupied.

3. Students are not allowed to sit in parked cars at any time.

4. The numbered parking permit must be displayed from rear view mirror. Number
on permit corresponds to assigned space reserved for student. Failure to do so
may result in the vehicle being towed at the owner’s expense.

5. Parking violations:
Level 1 – Abuse of vehicle parking privileges – Disciplinary Action (phone parent
and Code 2 Violation)
Level 2 – Traffic violation – Disciplinary Action (lose driving privilege for 1 week
and Code 2 Violation)
Level 3 – Reckless/irresponsible vehicle operation – Disciplinary Action (lose
driving privilege for 9 weeks and Code 2 Violation)

6. Transportation of other students is prohibited without prior written permission
granted by both driver and rider’s parent or guardian.

7. Whether on approach roads or on campus, students must drive responsibly and
with the safety of other students in mind. The speed limit on school premises is
ten (10) miles per hour!

8. Student drivers must gain administrative approval prior to accessing their vehicle
during school hours.

9. Students must not leave campus during school hours without Upper School
Office approval.

10. Since it is strictly a parental choice to allow a child to bring a vehicle to school,
the school assumes no responsibility for any vehicle brought on campus
(including theft or any damage to student vehicles).

11. Non-registered student drivers are not permitted to park on Silverdale Baptist

12. The administration holds the right to search a vehicle at any time if given just

I understand that failure to follow the above rules may result in the loss of driving
privileges. By signing below, I acknowledge that I have read this document and agree to
its conditions.
Student's First Name *
Student's Last Name *
Grade *
Vehicle Information
Make *
ex. Ford, Toyota, etc.
Model *
ex. Mustang, 4Runner, etc.
Year *
Color *
License Plate # *
Use capital letters. Spaces must be represented as seen on tag.
In which state was your license plate issued? *
If other, include in the Notes field below.
Drivers License # *
In which state was your driver's license issued? *
If other, include in the Notes field below.
Name of Insurance Company *
Please indicate below how you would like to be billed for the fee. Beginning this year, the amount will be added to your school account and it must be paid by the end of the month. *
Student Agreement *
By checking this box, I am stating that I have read and agree to the terms in this policy.
Parent/Legal Gaurdian Signature *
Please type your name below, stating that you have read and agree to the terms in this policy.
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