Safe Parking Business Sign up Business / Organization Name Business Type RetailRestaurant / CoffeeOffice / ProfessionalFaith-based organizationNonprofitMedical / ClinicOther Street Address City State ZIP Code Primary Contact Name Role / Title (optional) Contact Email Contact Phone Number of vehicle spaces you can designate Designated parking area description Is the designated area farthest from business entrances? YesNo Vehicle-only (cars, trucks, SUVs, vans). No RVs/campers/trailers. YesNo Parking allowed OvernightDaytime restBoth overnight and daytime Allowed hours Days available MondayTuesdayWednesdayThursdayFridaySaturdaySunday Cameras or security lighting in/near designated area? (optional) YesNoNot sure Have you notified local law enforcement or security that you are participating? YesNo If yes, who was notified? (optional) If not yet, would you like a simple notification template from us? YesNo Additional notes or special instructions (optional) Authorized submission confirmation Yes, I am authorized to submit this on behalf of this businessNo
