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: _______________

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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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