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Jefferson High School-Student Parking Registration 2020-21
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Email
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Your email
Last Name of Student
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Your answer
First Name of Student
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Your answer
Contact Phone Number in Case of Emergency
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Your answer
Address of Student
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Your answer
Student Grade for 2020-21
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Senior
Junior
Sophomore
Freshman
Student Driver's License Number
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Your answer
Student Driver's License Plate Number
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Your answer
Primary Vehicle-Make of Car
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Your answer
Primary Vehicle-Year of Car
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Your answer
Primary Vehicle-Color of Car
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Your answer
Primary Vehicle-Model of Car
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Your answer
Secondary Vehicle- Please list the License Plate #, Make, Year, Color, and Model if an additional vehicle will be used. (Not required)
Your answer
Auto Insurance Information: Company
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Your answer
Auto Insurance Information: Phone
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Your answer
Auto Insurance Information: Agent's Name
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Your answer
A parking spot will be confirmed and a parking tag issued when proof of insurance, driver's license are verified by a school official. A $10 parking fee per school year has been turned into the JHS Office. (Please make checks payable to JHS)
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I have read the following statement and understand I must provide copies of proof on insurance, license and $10 parking fee in order to receive a parking tag
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I have read the parking rules and regulations and my parent/guardian is aware of my parking request and han has read the "Vehicle and Parking Regulations." I understand student parking is a privilege, not a right.
Send me a copy of my responses.
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