2025-2026 KHS Parking Permit Application

2025-2026 KHS Parking Pass Application
This form must be completed and the parking sticker recieved in order to park on the KHS Campus.
Full Name*

First NameLast Name
Student ID Number*
Phone Number*
E-mail*
example@example.com
Class Status:*

FreshmanSophomoreJuniorSenior
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
First & Last Name of Parent/Guardian**
Parent/Guardian Telephone Number**
Vehicle #1
Make of Vehicle #1:*
Model of Vehicle #1:*
Primary Color of Vehicle #1*
Year of Vehicle #1:*
Plate Number of Vehicle #1:*
Vehicle #2
Make of Vehicle #2
Model of Vehicle #2
Primary Color of Vehicle #2
Year of Vehicle #2:
Plate Number of Vehicle #2
Insurance Company:*
Upload copy of Driver License photo.*
Upload copy of Insurance card with students name showing on document. *
Permit Number (THIS IS FOR OFFICE USE ONLY!)
Once all information and payment is received you can come to the downstairs AP's office during your lunch period within 24/48 hours after submission to receive your student parking sticker. Parking pass payments can be made on Vanco. Link is posted below.

Parking Pass Payment

Kempner High School Parking Procedures
I, undersigned, agree with the following statements:

I have read and understood the campus rules and understand that if I do not follow the rules, my permit will be revoked.
Date

MonthDayYear
Date
Signature*

Clear
Should be Empty:

2025-2026 KHS Parking Pass Application