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2025-2026 LRHS Student Parking Permit Application
Please use this online form to apply for a parking permit.
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* Indicates required question
Student Name (Last Name, First Name)
*
Your answer
Student ID Number*
*
Your answer
Student Email
*
Your answer
Student Cell Phone Number
*
Your answer
Student Address
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Grade
*
11
12
Driver's License Number
*
Your answer
Driver's License Expiration Date
*
MM
/
DD
/
YYYY
Parent/Guardian Name (Last, First)
*
Your answer
Parent/Guardian E-Mail
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Reason student will be driving to school:
*
Your answer
Car 1 Year, Make, Model, Color, Tag # (ex. 2015 Toyota Corolla, Red,Chen 3AC2815)
*
Your answer
IF NECESSARY - Car 2 Year, Make, Model, Color (ex. 2015 Toyota Corolla, Red)
Your answer
I agree to comply with all traffic laws and to prioritize safety at all times while driving on school grounds:
*
Agree
I understand that parking privileges can be revoked at any time.
*
Yes
In addition to completing this form, student drivers will need to bring the following to the front office when obtaining their student parking permit:
1.This form
2. $15 (exact cash or check)
3. Copy of Student Drivers License
4. Copy of Vehicle Registration (for both vehicles if applicable)
5. Copy of Proof of Insurance (for both vehicles if applicable)
*
We agree to present these items at the time we obtain the parking permit
Required
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