Student Parking Permit Request
For the privilege of using an automobile at Brownell Talbot School, we (student and parents) understand and agree to the following regulations:
* The registered vehicle will be parked only in those areas designated for students.
* A school parking tag must be displayed on the interior rearview mirror whenever the car is parked on campus. There is a $5 replacement charge for lost parking tags.
* The use of the registered vehicle at any time other than those allowed will result in the temporary or permanent loss of on-campus driving and parking privileges or other disciplinary action.
* Reckless driving or improper parking at school will result in the temporary or permanent loss of on-campus driving and parking privileges or other disciplinary action.
* All drivers are honor bound to report any accident while driving or parking on campus.
* Parents will be notified of any major parking/driving infractions.

We (student and parent) understand and concur that Brownell Talbot School cannot assume responsibility for personal liability, vandalism, damage, or theft.

The named student will be driving the following vehicle(s).
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Parent First Name *
Your answer
Parent Last Name *
Your answer
Make & model of auto #1 *
Your answer
Color of auto #1 *
Your answer
License Plate # of auto #1 *
Your answer
Parking Tag # for auto #1 (if already assigned)
Your answer
Do you need to register another vehicle? *
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