PETAL HIGH SCHOOL
PETAL HIGH SCHOOL VEHICLE REGISTRATION
PARKING DECALS: $20---($10.00 if student is a new driver after school has started)
Must have a copy of drivers license and proof of insurance
** (Print Legibly) **
STUDENT ______________________________________________ GRADE ___________
ADDRESS _____________________________________ PHONE ___________________________
VEHICLE REGISTERED TO ___________________________________ Relation: _________________
VEHICLE MAKE AND MODEL _____________________________ // ___________________________
MAKE ( FORD, CHEVORLET, ETC ) MODEL ( CIVIC, WRANGLER, ALTIMA, ETC. )
TYPE: _____________________ COLOR ______________________
( Type: Car, Truck, Suv, etc.)
LICENSE PLATE NUMBER _________________Type:______________ COUNTY: _______________
INSURANCE COMPANY _______________________________________________________
AGENT _____________________________ PHONE NUMBER ________________________
Policy Number: _____________________________________
-All vehicles must display a valid parking permit while vehicle is on campus.
-Vehicles will be routinely be checked/searched.
-Any violations, while on or off campus, may result in disciplinary action, towing, or loss of decal.
-If your vehicle is involved in a criminal offense, or if contraband is found to be in your vehicle, you will be required to surrender your parking decal.
I understand that I cannot give my decal to another student to use, and if I do, I will be subject to disciplinary action by a Petal High School administrator. I also agree to turn into, The Petal School District Police, or an administrator, any lost decal when found. I also agree to turn in my decal upon leaving Petal High School due to transferring or withdrawing from school. I agree that if I am sent to the Alternative School, my decal will be forfeited during the time spent at the Alternative School. I also understand that if I’m caught disobeying traffic laws or parking in other parking spaces, not assigned to me, that I could loose my privilege to drive or park on campus.
STUDENT’S SIGNATURE _______________________________________________________
PARENT’S SIGNATURE ________________________________________________________
PETAL HIGH SCHOOL VEHICLE REGISTRATION
“ EMPLOYEE”
Name: __________________________________ Position: __________________________
If Teacher, Subject Taught: ____________________________________
Phone Number: ( ) ___________________ ( ) ___________________
Where will you be parking: ____________________________________________________
Office Use Only:
Parking Decal Number: __________________________ Position Parked: _______________
-----------------------
Do not write below this line. Office use only.
Parking Decal (F) _________ Date Paid __________ Check Number ________ Initial _______
(L) _________ Replacement Decal ______ New Driver _______ Cash _______
(B) _________
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