PHS Student Parking Permit Registration Form
Permits will cost $20, this fee is due at the time of pick up. A valid Driver's License and current insurance verification (with student name listed as insured driver) will also be required for permit issuance pick up.
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Parking Map Acknowledgement *
Captionless Image
Student First Name *
Student Last Name *
Student ID *
Student Date of Birth *
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/
DD
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YYYY
Student Driver's License Number *
Name of Car Insurance Provider *
Policy Number *
Year of Vehicle *
Make of Vehicle (ex. Ford, Toyota..) *
Model of Vehicle (ex. F-150, Rav4) *
Color of Vehicle *
License plate number of vehicle. (no spaces or dashes) *
Would you like to register another vehicle *
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