Student Parking Permit Form 2017-18
- The Parking Permit application form is due to the Attendance office by Friday, July 21, 2017 at
3:00 p.m.
- You're applying for a Student Parking Permit tag to be used only during the 2017-2018 school year.
- You may fill out this application form if you are part of the 2018 or 2019 graduating class.
- The cost of the Student Parking Permit per semester is $75.00, or $150.00 for both semesters.
- You must have a valid driver’s license and student I.D. to purchase the permit. Payment can be made by
check payable to Schaumburg High School or cash, and is paid to the school cashier.
- The purchase dates for seniors and juniors buying a permit are: July 31 - August 4, 2017
Student Information
First Name
Your answer
Last Name
Your answer
Grade
Student ID #
Your answer
Student Drivers' License
Your answer
Home Phone #
Your answer
Cell Phone #
Your answer
Parent or Guardian Information
First Name
Your answer
Last Name
Your answer
Address
Your answer
Parent Main Phone #
Your answer
Parent Cell Phone #
Your answer
Vehicle Information
License Plate Number Vehicle #1
Your answer
Make of Vehicle #1
Your answer
Model of Vehicle #1
Your answer
Color of Vehicle #1
Your answer
Year of Vehicle #1
Your answer
License Plate Number Vehicle #2
Your answer
Make of Vehicle #2
Your answer
Model of Vehicle #2
Your answer
Color of Vehicle #2
Your answer
Year of Vehicle #2
Your answer
Link to Schaumburg HS Parking/Driving Rules & Signature Page
Please print and sign this document which will be submitted along with your payment to the school cashier.
https://goo.gl/GWx5yQ
Submit
Never submit passwords through Google Forms.
This form was created inside of Township High School District 211. Report Abuse - Terms of Service - Additional Terms