Van Buren County High School
Student Parking Permit Application and Information
Full Name
*
First Name
Last Name
Student Information
*
Drivers License Number
Street Address
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Vehicle Owner's Information
*
Name
Street Address
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Vehicle Information
*
Make,Model, Year and Color of Vehicle (ex. 2022 Red Nissan Altima)
License Plate Number
Insurance Number
Expiration Date
Insurance Carrier
By selecting below, I am stating that all the provided information is reflective of personal information to be used soley for obtaining parking access at VBHS. I acknowledge that parking on Van Buren County High School's campus is a privilege and that all driving/parking proceedures must be followed at all times. Violation of these expectations can result in the suspension of parking privileges.
Yes, I acknowledge the above statement.
Submit
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