STUDENT VEHICLE PARKING AUTHORIZATION FORM
ALL ENTRIES BELOW MUST BE IN INK
MY SIGNATURE MEANS I HAVE READ, UNDERSTAND, AND AGREE TO BOTH SIDES OF
THIS FORM
_________________________________ _________________________________
Print Student Name Print Parent/Guardian Name
_________________________________ _________________________________
Student Signature Parent/Guardian Signature
_________________________________ _________________________________
License Plate Number Vehicle Make/Model/Color
Date Issued: ______________________ Parking Permit No. _________________
----------------------------------------------------------------------------------------------------------------------------
Note: When buying a parking permit you must have copies of these items with you:
1. A copy of student’s valid AL Driver’s License with a picture
2. A copy of valid vehicle registration
3. A copy of valid vehicle insurance card
4. A completed copy of this form signed by student and parent/guardian
5. $40.00 payable by cash, check or swipe card (checks should be made out to Pike
Road High School)
6. $75.00 for Seniors reserving a painted parking spot
Office Use Only:
Permit # ___________ Date issued: ____________ Check: ___ # ____ or Cash ___
2020-2021 Pike Road High School Parking Policy and Rules
Parking your vehicle at Pike Road High School is a PRIVILEGE. The following rules must be followed
by students who choose to drive to school.
1. Eligible student drivers are required to purchase a parking permit to park at PRHS.
2. All parking hangers WILL be displayed on the rearview mirror, clearly visible from the front of
the vehicle.
3. If a student driver loses their tag or it is stolen, the student must purchase another permit that
requires an administrator’s approval.
4. Do not attempt to purchase a permit for another student. Consequence includes revocation of
parking privileges for the year. Students cannot allow others to drive to school using their permit.
5. Once students are on campus with their vehicle, they must park and exit the vehicle immediately.
NO LOITERING!
6. At no time are students permitted to go to their vehicle during school hours, this includes during
the lunch period, unless permission has been granted from administration.
7. Students must not have discipline infractions to maintain a parking pass and must
consistently be on time for school. School tardies are considered discipline infractions and
students will be subject to losing their driving privileges.
8. Students are prohibited from bringing onto the school grounds any gun, rifle, knife, blackjack,
metallic knuckles, razor/cutter, mace, pepper gas, explosives or martial arts weapons. Further,
students are prohibited from bringing onto the school grounds any alcohol, drugs, drug
paraphernalia, lighters, e-cigarettes or vapes.
9. All vehicles parked on school grounds are subject to search and seizure. In the event it becomes
necessary for school authorities to open, enter and search the vehicle, it’s contents, and remove
any unauthorized articles above or any other articles which may endanger the health, welfare or
safety of students and school personnel, such articles may be retained and used as evidence in
disciplinary proceedings by school authorities or delivered to appropriate law enforcement
officials at the discretion of the school authorities.
10. Students must have a cumulative weighted 2.0 G.P.A or above to purchase and maintain a parking
permit.
ADDITIONAL REASONS STUDENTS MAY HAVE THEIR PARKING PRIVILEGES
SUSPENDED OR REVOKED FOR THE FOLLOWING:
1. Repeated tardiness to school/extreme absenteeism
2. Leaving campus without permission, or taking other students off campus without permission.
3. Reckless driving or unsafe movement
4. The use of prohibited substances in your vehicle or allowing others to use prohibited substances
in your vehicle.
Student Signature: _______________________________________ Date: ___________
Parent/Guardian Signature: ________________________________ Date: ___________
