Student Driver Application 2022-2023

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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 be assigning parking spots next year.

Email *

Student Last Name *

Student First Name *

Student Address (street, city, State, zip) *

Grade *

Home Phone *

Driver's License Number *

Cell Phone Number *

Parent's Daytime Phone Number *

Make, Model, Color of Vehicle *

Insurance Company Name *

Address of Insurance Company *

Insurance Company Phone Number *

Insurance Policy Number *

Expiration Date *

Name of Passengers riding to and from school with you. *

Send me a copy of my responses.

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