DALLAS HIGH SCHOOL

PARKING PERMIT REGISTRATION

 

SCHOOL YEAR__________________

 

Student parking is a privilege and is offered as a courtesy and convenience for students who decide to drive to school.  Students must demonstrate good judgment and remain in compliance with all rules and regulations as stated in the student/parent handbook.  Failure to do so will result in the loss parking privileges.

 

Parking privileges will be suspended or revoked for any student who violates any regulation of the motor vehicle code of the Commonwealth of PA.  Parking privileges will also be suspended for any student who accumulates 8 unexcused tardies to school, 4 unexcused absences from school, or 4 disciplinary violations. 

 

I certify that I have read and understand the rules and regulations regarding student parking at Dallas High School and have discussed them with my child.  I further certify that ____________________________ has my permission to drive to school and carry passengers. 

 

PARENT/GUARDIAN SIGNATURE_______________________________DATE_________

 

STUDENT SIGNATURE______________________________________DATE___________

PASSENGERS

 

1. __________________________________2.__________________________________

 

3.__________________________________4.__________________________________

 

DRIVER’S NAME (please print)____________________________________grade______

 

INSURANCE COMPANY____________________________________________________

 

POLICY #________________________________

 

DRIVER’S LICENSE #_____________________________________________________

 

VEHICLE INFORMATION: LIST FOR ALL CARS YOU MAY DRIVE

 

YEAR

MAKE

MODEL

COLOR

PLATE#

 

 

 

 

 

 

 

 

 

 

 

 

PERMIT#_____________________________(OFFICE USE ONLY)