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21-22 Online Parking Permit Registration Form
Rider High School
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* Indicates required question
Email
*
Your email
Preferred Parking lot
*
Choose
Band
Athletics
AG
Last name
*
Your answer
First Name
*
Your answer
Student ID #
*
Your answer
Graduation year
*
Choose
2022
2023
2024
School e-mail address
*
Your answer
DRIVER'S LICENSE NUMBER
*
Your answer
Driver's License expiration date
*
Your answer
Insurance Company
*
Your answer
Insurance Policty Number
*
Your answer
COLOR OF VEHICLE
*
Your answer
MAKE/MODEL OF VEHICLE
*
Your answer
VEHICLE OWNER'S NAME
*
Your answer
LICENSE PLATE NUMBER
*
Your answer
I understand that I must bring a signed Parking Permit Rule Form along with payment to Sale Day
*
Yes
I understand that I must submit my payment to My School Bucks.
*
Yes
Required
I understand that incomplete forms will not be accepted, and that if I do not have all information submitted, I will be required to submit another form.
*
Yes
Required
A copy of your responses will be emailed to the address you provided.
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