Space # Assigned:

CARRBORO HIGH SCHOOL

201 Rock Haven Road
Carrboro, North Carolina 27510
Telephone: 919-918-2200 FAX: 919-929-3898

STUDENT PARKING AGREEMENT 2009-2010

Senior and Junior Application Only

____________________________
Date

I understand that my son/daughter, ________________________________________, is subject to all rules and

regulations that govern parking at CHS. I further understand that the violations and offenses listed below will
result in the suspension and/or revocation of parking privileges without a refund and may result in other
disciplinary actions:

1. Not passing 70% of courses (or five out of seven courses) per semester.
2. Parking in an area other than your assigned parking space.
3. Failing to follow all North Carolina traffic laws on and off campus during school hours, on the way to school,
and during the lunch period.
4. Driving recklessly or carelessly, or driving over 15 mph on school property.
5. Leaving campus without permission.
6. Taking students off campus without written permission from parents and the school.
7. Damaging school property.
8. Granting permission for anyone to use your assigned parking space.
9. Failing to display ID when entering or exiting campus.
10. Failing to display CHS hangtag from rearview mirror.
11. Vandalizing other automobiles.
12. Being insubordinate to school personnel in matters related to driving or parking.

Any student who transfers or withdraws during the school year or whose driver’s license and/or parking space is
suspended or revoked will not receive any refund of his/her parking space fee.

I understand the parking cost for students is $100 per year, and must be sent with the application in the form of check or
money order made out to Carrboro High School. The student must pick up the parking hangtag at the designated time.
Hangtags will not be given out to student thrift store volunteers who do not complete their hours. Students must possess a
valid NC driver’s license and vehicle registration by August 17, 2009.

Citation Information
Citations will be issued to vehicles at the rate of $10.00 per citation for any of the following reasons:
• Parking in a staff parking space or student parking space not registered for that vechicle
• Parking in an assigned parking space without a visible hang tag for that space
• Not notifing the appropriate staff members in charge of parking in a timely fashion of change in vehicle registered
to that space
• Not notifing the appropriate staff members in charge of parking in a timely fashion of a parking space switch due
to another vechicle being in your assigned space

Citations can be appealed before the end of the school day but only with a valid reason. No citation will be appealed after
the end of the day that the citation was given. After the second citation for the same offense, no citations will be appealed.
Failure to pay within the first week the citation was issued will result in another $5 fee, and after two weeks will result in
suspension of student parking privileges, transcripts not being mailed, and denial of participation in high school
commencement.

Continue on Back side 

 CHS STUDENT PARKING APPLICATION

*Parking applications must be notarized by a notary or witnessed by a CHCCS high school employee *
Name: 2009-2010 Grade Level: 11 12
Phone: Full Address:

Carpool Members: (Upperclassmen)

Names: 2009-2010 Grade: Signature:

If the same carpooling name appears on more than one application, each application will be discarded.
Only one parking space will be allotted per family.

Car Registration Information (This Vehicle will be assigned to the parking space):
First Vehicle:
Make: Model: Color: Year:
__________________ _________________ __________________ _______

Licence Plate Number: _____________________________ Drivers License Number: _______________________

•
• Second Vehicle (if Applicable):
Make: Model: Color: Year:
__________________ _________________ __________________ _______

Licence Plate Number: ______________________ Drivers License Number: _______________________

Total Number of Service Learning Hours: ______________

CHS/ECHHS/CHHS Service Learning Coordinator’s Signature: ______________________
Rising juniors and seniors must complete, turn in, and have 25 service learning hours documented and verified by your
Service Learning Coordinator in order to be eligible for a parking space (Please check the CHS website for more
information). Any applicant giving false information will not be permitted to park for the ENTIRE 2009-2010 school
year. Please be aware that all the information will be verified.
Please print and sign below agreeing that you and your student have fully read and understand what is
stated on this Parking Application/Parking Agreement Form:
Date:
_________________________ ________________________
Parent’s Name (Please print) Student’s Name (Please Print) Home Phone Number

_________________________ ________________________
Parent’s Signature Student’s Signature Work Phone Number

Notary CHCCS High School Employee

(Please Print)

Expiration Date CHCCS High School Employee’s

Signature
Submit completed applications to:
Carrboro High School
Attn: Parking Application Attendant
201 Rock Haven Road
Carrboro, NC 27510