Student Parking Permit Application

Student Automobile Policies

Driving an automobile to school is a privilege and not a right. This privilege shall be granted only so long as the regulations regarding use of a vehicle are met.

1. The student must complete the permission and waiver form after this online form is submitted (permission and waiver forms are available in the front office).

2. The student will receive a parking permit that must be clearly displayed while parking on campus in the top corner of the windshield on the driver's side. If you should lose your permit, there is a $10 replacement fee.

3. The student obtaining such permission may carry only those passengers for whom permission has been granted by the school office. Students may not ride in the private vehicles of students going to or from the school unless an email from the parents of the student riding and the student driving, granting the student permission to do so. Students in the same family would be exempt from this.

4. As soon as students arrive at school in a vehicle driven by a student, all must leave the vehicle and come to the area designated for students to wait until school opens.

5. Students must park in the designated student parking spaces. There is to be no visiting/socializing/loitering in or around any vehicle either before, during, or after school.

6. Improper driving conduct such as speeding, reckless driving, etc., both on or off school grounds is sufficient cause for revocation of the school permit to drive on school grounds.

7. Students are not allowed to go their vehicles during the school day without an administrator's permission. Students should remove any items that might be needed before leaving their vehicles each morning.

8. Students are not allowed to drive vehicles on field trips, athletic events, or other "during school" activities where a van is being used to transport students unless permission was securited from the Administration prior to the trip.

Student Signature
I, Student Name, have read & agree to abide by LCA's Automobile Policies as stated above.

Date

MonthDayYear
Date
Parent/Guardian Signature
Date

MonthDayYear
Date

Student Parking Permit Application

Please fill out the form below to apply for a student parking permit. Ensure all required fields are completed accurately.
Student's Full Name*

First NameLast Name
Student Grade
Driver's License #:*
Please provide a copy of your license to the front office
Please upload a photo or PDF of your Drivers License

Cancelof
Vehicle Information
Make of Vehicle
Model of Vehicle
Year of Vehicle
Color of Vehicle
Vehicle License Plate Number*
Insurance Information
Auto Insurance Name
Policy #
Policy Holder Name
Expiration Date

MonthDayYear
Date
Please attach a picture or PDF of your Insurance Card

Cancelof
- I understand that I am responsible to uphold ALL LCA student vehicle guidelines at all times. This includes but not limited to: speed limits, safe and sensible driving, permitted parking areas, stereo volume control, reckless driving, etc.
- First violation to any LCA student vehicle guidelines will result in a warning. After two violations, I understand my driving privileges during the current school year will be revoked.
- I further understand if I am responsible for transporting any other students, I will obatin a written and signed authorization from the parents of said students and give it to the office prior to transporting students.
- Replacement permits will cost $10.00 Parking permits must be renewed each year.
Student Name

First NameLast Name
Student Email
example@example.com
Student Signature
Parent Signature
Parent Email
example@example.com
Date

MonthDayYear
Date
I agree to abide by campus parking rules and regulations.
Should be Empty:

Student Parking Permit Application

Vehicle Information

Insurance Information