Request to Park on Site

REQUEST TO PARK ON SITE

NAME ______TUTOR GROUP ______

HOME ADDRESS ______

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WHY IS IT NECESSARY TO TRAVEL BY CAR? ______

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TYPE OF LICENCE HELD: (provisional not acceptable) ______

MAKE OF CAR ______ENGINE SIZE ______cc

COLOUR ______REG NO ______

NAMES OF ANY STUDENT PASSENGERS ______

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TYPE OF INSURANCE (e.g. comprehensive, etc.) ______

NAME OF INSURER ______POLICY NO ______

1. 6 Form Students must live 2 miles from the school or regularly carry passengers to be eligible for a pass. Students living nearer should use alternative transport such as buses, car or walking.

2. Permission to bring a car to school is given on a provisional basis only, and will be withdrawn if parking space for students is required for other purposes.

3. Extreme care must be taken on entering and leaving the school premises. The maximum speed limitis 5mph. Reckless or careless driving will lead to the withdrawal of the privilege of bringing a car intoschool. For safety reasons, students should not drive their cars out of the car park between 15.15 and 15.30.

4. Responsibility for students driving to school by car rests with themselves and their parents.

5. Students should not transport other students except with the knowledge and permission of parents.

6. The school can accept no liability for any loss from or damage to the vehicle whilst on site.

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In applying for permission to drive to school, I agree to the above regulations. I understand that if I abuse

the privilege, it will be withdrawn.

Signed (Student) ______Date ______

I confirm that the above details are correct and I give my permission for my son/daughter to drive to school.

Signed (Parent/carer) ______Date ______

Permission granted / not granted

Signed (Head of Sixth Form) ______Date ______

FOR SCHOOL USE ONLY:

Insurance certificate seen: Yes / No Permit issued: No. ______Date ______