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CROATAN HIGH SCHOOL
PARKING PERMIT APPLICATION

Driver's Name

Last _____________  First ___________  Middle ________

Date of Birth _____________  Grade ________

Parent(s)/Guardian(s) Name (s) _______________________

Home Address ____________________________________

Home Phone _____________  Parent's Work Ph __________

Vehicle Make (ie: Honda) __________________

Vehicle Model (ie: Accord) _________________

Vehicle Year _________     Color _________

NC Reg Plate _________  NC Drivers License #__________

I will follow the rules listed on the back of this form. Failing to follow these rules will result in the loss of my driving privileges on this campus. By signing, I am agreeing that the above information is true and accurate.

Student Signature _______________________ Date _______

Parent Signature ________________________ Date _______

************************************************
DO NOT WRITE IN BELOW SPACES

Parking Permit # __________     

Date Issued __________  Amt Pd _________ Date Pd _______

CROATAN HIGH SCHOOL
STUDENT VEHICLE CONTRACT

I understand that the operation of student vehicles on school grounds is a privilege.  I agree to abide by the following terms and conditions.

1.  I will display my valid parking permit sticker on the top center of my windshield so it is clearly visible at all times.
2.  If I drive a vehicle that does not have a parking sticker, I will contact an Administrator or SRO immediately upon arrival on campus to make proper arrangements to park on campus.
3.  I will drive cautiously while on campus, and obey all rules, laws, and regulations pertaining to the safe operation and parking of a motor vehicle as established by the state, county, school system, and Croatan High School.
4.  I will not bring onto school grounds, nor keep in my vehicle while it is on school grounds, any prohibited controlled substance such as beer, wine, alcohol, or any other drugs, nor any gun, weapon or explosive.
5.  I understand that school officials have the authority to open, enter, and search my vehicle if they have reasonable suspicion that any of the items mentioned above are in my vehicle. Such items will be removed as evidence in any disciplinary or criminal proceedings.
6.  I understand that my vehicle may be towed if parked in restricted areas and the cost is my responsibility.
7.  I will obey the directions of all Croatan staff and/or SRO.
8.  I will report any accident, damage, or theft to the SRO immediately upon notice.
9.  I understand that once I am parked, I will enter the building and not return to the parking lot until the end of the school day without permission from school administration or their designee.
10. I understand that if my driver's license is revoked or suspended by the state, my parking privilege will be suspended until my driver's license has been reinstated.
11. I understand that failure to follow the above mentioned rules and regulations or any other safety violation that would jeopardize the health or well-being of Croatan High School students or staff will result in the loss of my driving privilege on this campus as follows:
1st offense - 5 days, 2nd offense - 30 days, 3rd offense - remainder of school year
12. Underclassmen who park in senior parking and students without a parking pass will be fined the following: $5.00/first offense, $10.00/second offense, $20.00/third offense.

To obtain a parking permit, a student needs to present to the SRO, a valid driver's license, registration card, a completed and signed parking permit application, and $25.00.