KELLAM PARKING PERMIT APPLICATION
Decals sold to Seniors and Juniors only. Upon completion of this form, your name will be added to the decal list. Print & Complete the acknowledgment form (separate from this) and bring with you to Kellam when purchasing your pass.
Are you a Senior or Junior at Kellam High School *
STUDENT: Last name *
Your answer
STUDENT: First Name *
Your answer
Student ID Number *
Your answer
STUDENT: Driver's License Number *
Your answer
Date in which you will receive your license? *
MM
/
DD
/
YYYY
License Plate Number *
Your answer
Make and Model of Vehicle *
Your answer
Color of Vehicle *
Your answer
Submit
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