Parking Permit Application: Western - CLOSED Brescia University College

First Name*

Last Name*

Initial

Western Email*

Phone Number*

Student Number

Address*

Vehicle Information

Make*

Model*

Colour*

Plate Number*

Province/State *

Registered owner of vehicle*

Please complete the section below if you have an additional vehicle you would like to add to this parking pass.

Make

Model

Colour

Plate Number

Province/State

Registered owner of vehicle

Permit Options

Do you require accessible parking?*

Yes

No

If you require accessible parking, please come to The Hive and provide evidence that you require accessible parking. Acceptable evidence will be a valid Ministry-issued accessible parking permit in your name or a letter from your medical doctor stipulating that temporary accessible parking is necessary that also clearly states the period during which accessible parking will be required. Brescia will then issue you an Accessible Parking pass (with an expiry date if the accessibility requirement is temporary) that must be displayed in your vehicle in addition to your Brescia paid parking hangtag.

Parking Permit Type - CLOSED for 2023/24 as of August 16th, 2023*

Payment Options - CLOSED for 2023/24 as of August 16th, 2023*

Debit Card (The Hive)

E-Transfer to bucar@uwo.ca - Please clearly state your name and student number

Payment is required immediately upon completion of the form. Failure to make a payment in a timely manner may nullify your parking pass request.

Terms of Agreement

In applying for the vehicle permit below, I hereby agree to assume all responsibilities for the vehicles registered herein, to adhere to the Brescia University College Parking Regulations (posted on our web site) and to accept all the conditions therein.
I certify that I am in possession of a valid driver’s license and that the vehicle registered for parking is properly licensed and insured.
Repeated violations of the Parking Regulations will result in the withdrawal of parking privileges and sealing of student records. Unauthorized or illegally parked vehicles will be ticketed or towed at the owner’s risk and expense. An illegally parked vehicle is defined as a vehicle parked in a restricted space such as a bus route, fire route or reserved space.
Parking permits will be displayed appropriately in accordance with the Parking Regulations.
Brescia University College assumes no responsibility for damage to or loss of vehicles and/or contents, however caused, while parked on College property.
This permit does not entitle the owner to park in any of the parking lots located at The University of Western Ontario or the other affiliated colleges. A UWO or other affiliated college permit does not entitle the owner to park at Brescia University College.
This permit is valid from September 1st to August 31st of the following year.

By checking the box below, I agree to follow the Parking Permit Terms of Agreement shown above.*

I agree to the terms above