We're looking forward to a great summer! The form below is to be completed by the program sponsor. A separate form needs to be submitted for each session of a program. Please complete this form a minimum of 10 business days prior to parking on Grounds to allow for processing. Forms received with less than 10 business days may not be processed prior to your start date. Individuals attending certain programs are required to call the main office at 434-924-7231 to purchase parking. Please refer to the email you received following your housing request. To view locations and pricing before submitting the form, please visit: Summer Program Parking: Location and Pricing Additional information regarding parking regulations can be found at parking.virginia.edu or by calling 434-924-7231 or emailing ptconf@virginia.edu Monday through Friday 9:00am - 5:00pm. Sponsor Details Name * Please enter your full name (First and Last) Email * Phone Number * Please enter your phone number (###-###-####) Program Details Program Name * Assigned Dorm Location * Bice Bond IRC Brown Lawn Alderman Gooch/Dillard Copeley Lambeth McCormick Faulkner Hereford CDF Shea Unknown Start Date * Earliest date that you will need parking Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202320242025 End Date * Anticipated end date for your summer parking Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202320242025 Attendee Details Estimated Number of Attendees * Program sessions with over 50 attendees are required to purchase a parking or garage lift Additional Info Required You are required to collect the following details of your program's attendees: Name, phone number, email address, plate state, and plate number. Please use the provided template and upload the completed spreadsheet. Name, phone number, and email address are needed to provide a warning in case of a parking violation or emergency at the parking location. Template Plate Detail Upload * Files must be less than 2 MB.Allowed file types: xls xlsx. Parking Lift Agreement * I understand that parking lifts remove enforcement for one day at a flat rate. During the lift, parkers do not have to register. This is ideal for program registration sessions/check ins & outs, parent drop offs/pick ups, and large groups. Summer 2023 Parking Rates Parking Location Day Rate per Vehicle Weekly Rate per Vehicle A9 Culbreth Garage $5.75 $23.00 B1/B2 Bond $3.40 $17.00 John Paul Jones $2.10 $8.50 E3 $4.65 $18.75 S1/ S2/ S4 $3.40 $17.00 S6/S9 $4.65 $18.75 Summer 2023 Parking Rates Lift Rate Day Rate Weekly Rate Select Parking Lot Lifts $75.00 N/A Select Garage Lifts $300.00 N/A Desired Location 1 * A9 Culbreth Garage B1/B2 Bond John Paul Jones E3 S1/ S2/ S4 S6/S9 Desired Location 2 * A9 Culbreth Garage B1/B2 Bond John Paul Jones E3 S1/ S2/ S4 S6/S9 Notes Additional details about your program that we should know Billing Details A deposit based on the estimated attendees is required before parking begins. For events with 50 or fewer attendees that add an additional guest after the start of the program, the individual needs to contact the P&T office directly to obtain a parking permit. The main office can be reached at 434-924-7231 Monday - Friday, 9AM - 5PM Billing Contact Name * Billing Contact Phone Number * Billing Contact Email * Payment Method * Worktag Credit Card / Check Individual Pays Cost Center * Project | Gift | Grant | Designated * Fund * Program * Function * Billing Address * A P&T representative will reach out to finalize the payment Billing Agreement * I understand that the program will be ultimately responsible for all parking charges incurred. Billing will occur before the program has begun. Any program or individual with outstanding charges will not be approved for parking and subject to citations. Leave this field blank