Vehicle Registration-Parking Permit

Parking Registration

If your vehicle is parked in the ConnectioN Point parking lot and you are not inside the building to attend a program or event, this form must be completed. Beginning March 1, 2021, failure to complete this form before parking in our lot will result in your vehicle being towed at your expense.

If you are not here for a program or event, and you have permission to park in our lot per this form, please park your vehicle at the far corners of the lot to ensure that people entering the building can use the parking spots closest to the doors.

ConnectioN Point is a nonprofit organization serving the Lincoln community through free programs like the Open Shelf food pantry. We would greatly appreciate your donation to offset the costs of parking lot maintenance and snow removal services.

You can donate at https://pushpay.com/g/connectionpoint.

Full Name *

First Name Last Name

Are you a *

Nearby Resident UNL Student/Staff

Phone Number *

Area Code Phone Number

E-mail *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Vehicle Information

Vehicle #1

Make of Vehicle #1: *

Model of Vehicle #1: *

Primary Color of Vehicle #1 *

Year of Vehicle #1: *

Plate Number of Vehicle #1: *

Vehicle # 1 State registered *

Insurance Company: *

Vehicle #2

Make of Vehicle #2:

Model of Vehicle #2:

Primary Color of Vehicle #2

Year of Vehicle #2:

Plate Number of Vehicle #2:

Vehicle # 2 State registered

By submitting this form, I agree that ConnectioN Point shall not be responsible for any damage or injury that may happen to me, my guests, or property of the same, from any cause whatsoever arising from the use of the property, and I expressly release ConnectioN Point from and agree to indemnify ConnectioN Point against any and all claim for such loss, damage, or injury.