CITY OF PARKVILLE 8880 Clark Avenue Parkville, MO 64152 (816) 741-7676 FAX (816) 741-0013
Golf Cart / Low Speed Vehicle Registration
1. Type of Registration
Registration Type (check one) Vehicle Type (check one)
New Golf Cart
Renewal Low Speed Vehicle
2. Registration Information
Owner(s) Vehicle
Name: _________________________________ VIN #: ________________________________
Address: _______________________________ Make & Model: _________________________
City, State, Zip: __________________________ Year: _________________________________
Phone: ________________________________ Color: ________________________________
Cell Phone: _____________________________ Storage Location: _______________________
Email: _________________________________ Insurance Policy #: ______________________
Driver’s License #: _______________________ Insurance Company: ____________________
Driver’s License State: ____________________ Insurance Phone: _______________________
3. Checklist of Submittals Required at Time of Application
Payment (cash, check or money order)
Completed Form
Copy of Valid Driver’s License
Copy of Motor Vehicle Insurance
Copy of Current Inspection for Vehicles 2+ years and Signed Certificate of Satisfactory Inspection
Signed Municipal Code Section 362 regarding Operation Regulations (see page 2)
4. Acknowledgement and Authorization Signature
I (we), the undersigned, do hereby authorize submittal of this application and associated documents and
certify and affirm by my signature that all information I have provided is true and correct. I do hereby
agree to abide by and comply with all applicable Parkville Municipal Codes and conditions of approval. I
further understand that any violations from the provisions of said codes and conditions of approval shall
constitute cause for retraction of this application. I understand this application is non-transferable and that
changes may require submittal of a new application. I understand that in any case this application must
be renewed every two years.
Owner Signature: ________________________________________ Date: ____________
For City Use Only
Application accepted as complete by: ______________________________________ Date: _______________
License Fee $_____________ Date paid: _____________ By: Check # ______ M.O. #______ Cash
Payment made by: ____________________________ Received by: ________________________________
1. Original to Parkville 2. Copy to Police Department 3. Copy to Applicant
Sticker Number: ________
Date Submitted: ________
Date Approved: ________
Revised March 2014
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A. All drivers must be licensed to operate a motor vehicle as provided by Missouri Traffic
Regulations and carry a valid driver’s license as provided by Missouri Traffic Regulations.
B. All drivers of golf carts/ LSV’s shall abide by all traffic regulations applicable to vehicular
traffic when using the authorized streets and parking areas of the City of Parkville.
C. Golf carts/ LSV’s shall not be operated on sidewalks at any time.
D. The authorized driver of a golf cart or LSV operating the vehicle on a street (as defined
herein) can cross an excluded street where the speed limit is greater than 35 miles per hour,
but otherwise may not operate a golf cart/ LSV on any such excluded street or road.
E. Golf carts/ LSV’s are prohibited from pulling trailers, boats, jet skis, other objects, people or
animals on public streets and the right of way.
F. Driver and passengers shall
1. Be limited to the seating capacity as designed by the manufacturer.
2. Be seated at all times while the cart/ vehicle is in motion.
G. Drivers shall maintain financial responsibility as required for other passenger vehicles as
required by RSMO Chapter 303.
H. Any person who violated the terms of this ordinance shall be penalized subject to the traffic
regulations of RSMO Chapter 304, Section 304.029.
I hereby acknowledge by my signature below that I have received, read and understand Section
362 Operation Regulations for Golf Carts & Low Speed Vehicles (LSV’s), and that failure to
abide by these rules and regulations may result in penalties, fines, suspensions, and other legal
remedies as prescribed by the Parkville Municipal Code and other applicable County, State and
Federal laws as may be applicable.
Printed Name: _______________________________________________________________________
Signature:________________________________________________ Date: ____________________
Revised March 2014
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