Student Parking Registration Form
Please fill out the registration form below to apply for a parking permit.
Full Name
First Name
Last Name
Student ID
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Vehicle Information
Vehicle Make
Vehicle Model
Vehicle Color
Vehicle License Plate Number
Terms and Conditions:
By registering for on-campus parking, I agree to comply with all parking regulations and policies set forth by the institution.
I understand that parking permits are issued on a first-come, first-served basis.
I acknowledge that the institution is not responsible for any damage or theft that may occur to my vehicle while parked on campus.
I will display the parking permit prominently on my vehicle's dashboard.
Failure to adhere to parking regulations may result in fines or towing at the vehicle owner's expense.
I, undersigned, agree with the following statements:
I agree to abide by the terms and conditions mentioned above.
I have paid the required parking fee.
I hereby declare that the information provided in this registration form is accurate and complete. I understand that any false information may result in the revocation of my parking privileges.
Date
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: