Parking Permit Application Form printable pdf download

Parking Information

2016-2017

Students will be assigned a specific parking space for the 2016-2017 school year by a lottery

draw. 2016-2017 juniors and seniors may return this Parking Permit Application and the

$100.00 fee (non-refundable) to the attention of Tommy Edwards at the school address.

(Please return by June 30). Passes will be available for pick up between the dates of July 11th

– Aug. 10

at Crusader Corner/Main Office between 9am – 11am & 1pm-3pm. Please check

our website for summer hours. (Driver’s license required for pick up). Failure to pick up

pre-paid pass during these dates will result in an additional $25.00 fee. After Aug 10th, parking

passes may be purchased for $125.00 at Crusader Corner on a space available basis. To

purchase a parking pass, students must have the following:

 An accurately completed Parking Permit Application

 $100 – check only (made payable to Bishop Kenny High School)

 Driver’s license- BK will hold the pass until a Driver’s license is obtained

If you have any questions, please contact the Office of Student Auxiliary Services.

BISHOP KENNY HIGH SCHOOL

2016-2017 Parking Permit Application

(please print clearly)

Lot Choice #1 ______Lot Choice #2 ______ Lot Choice #3 _______ Lot Choice #4 _______

Student ID # ______________

Lot A is reserved for Seniors only

Student Name ___________________________ DL Number__________________________

Driver’s License yes _______ no _________ expected date to be obtained ______________

INSURANCE INFORMATION:

Company Name & Phone #____________________________ Policy # _________________

VEHICLE INFORMATION

1) License Plate # __________ Make __________ Model __________ Color __________

2) License Plate # __________ Make __________ Model __________ Color __________

3) License Plate # __________ Make __________ Model __________ Color __________

The signatures below indicate your agreement to comply with the rules and regulations of Bishop Kenny

High School regarding the privilege of driving on campus and in the surrounding neighborhoods. Parking

permits may not be sold to or exchanged with other students. The $100 fee is non-refundable. There will

be a $20.00 replacement fee for lost passes. Failure to display parking pass will result in a $15.00 fine

payable to Crusader Corner within 3 school days after violation. The school reserves the right to search

any vehicle on the Bishop Kenny campus. The school reserves the right to rescind the parking permit.

Parent Signature ____________________________________ Date ___________________

Student Signature ___________________________________ Date ____________________

Campus Map on the back of this sheet!

Parking Permit Application Form