2024-25 Student Parking Registration & Payment Form

Regina High School 2024-2025 Student Parking Registration & Payment Form

Please use a separate form for each student driver.
Student - Last Name*
Last Name
Student - First Name*
First Name
Student - Grade Level for 2024-2025 School Year*
Please list all possible vehicles this student may be driving on school property:
Vehicle 1
Make* Model* Color* Licence Plate Number*
Vehicle 2
Make Model Color Licence Plate Number
Vehicle 3
Make Model Color Licence Plate Number
Parent/Guardian #1 Name*

First NameLast Name
Parent/Guardian #1 Phone Number*

Area CodePhone Number
Parent/Guardian #1 Email*
example@example.com
Parent/Guardian #2 Name

First NameLast Name
Parent/Guardian #2 Phone Number

Area CodePhone Number
Parent/Guardian #2 Email
example@example.com
Parents/Guardians AND Student Driver understand and agree to the following:

Parents - you agree to make sure your student driver is aware of and agrees to the following information.
By providing the information on this sheet I am registering a student driver, not the vehicle. Each student driver will need to purchase a separate registration to display in their vehicle. The student must display their registration in the vehicle they are driving/parking on school property. Remember to update the vehicle information above if the student changes vehicles. *
Registrations may not be shared, duplicated, or transferred to another student. Please report lost or stolen registrations to the office immediately.*
The parking lots will be monitored Monday-Friday between the hours of 7:30 am and 3:10pm. Visitors to the building must report to the office immediately.*
Students are permitted to park only in areas designated for student parking. This does not include staff/faculty parking areas, grass areas, fire lanes, driveways, etc. Obtaining a parking registration does not guarantee a parking spot. If student parking areas are full, student will need to park off site. Students will not be given an excused tardy due to delays caused by parking.*
Students displaying unsafe driving (excessive speed, “squealing” tires, riders on vehicle, etc) may have their registration revoked.*
Students violating any of these policies may be fined, penalized, or have their registration revoked. *

Student Parking Registration for 2024-2025

Student Parking Registration fee per Student =$60.00

Quantity
Item subtotal:$0.00

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

FOR OFFICE USE ONLY Parking Registration Number .
Should be Empty:

Regina High School 2024-2025 Student Parking Registration & Payment Form

Please list all possible vehicles this student may be driving on school property:

Parents/Guardians AND Student Driver understand and agree to the following: