Student Driver Application 2018-2019
Any student that is planning to drive will need to have this form filled out and submitted to the office before they drive to school. All students are to park in a numbered parking space, we will not be assigning parking spots this year.
Student Last Name *
Your answer
Student First Name *
Your answer
Student Address (street, city, State, zip) *
Your answer
Grade *
Your answer
Home Phone *
Your answer
Driver's License Number *
Your answer
Cell Phone Number *
Your answer
Parent's Daytime Phone Number *
Your answer
Make, Model, Color of Vehicle *
Your answer
Insurance Company Name *
Your answer
Address of Insurance Company *
Your answer
Insurance Company Phone Number *
Your answer
Insurance Policy Number *
Your answer
Expiration Date *
Your answer
Name of Passengers riding to and from school with you. *
Your answer
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