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Student Parking 21-22
* Indicates required question
Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Driver's License Number
*
Must be Driver's License, NOT Permit.
Your answer
Grade during 2021-2022 School Year
*
Senior
Junior
Sophomore
Freshman
Student Phone
Your answer
Owner of Vehicle
*
Your answer
License Plate #
*
Your answer
Year of Vehicle
*
Your answer
Color of Vehicle
*
Your answer
Make of Vehicle (Ford, Chevrolet, Toyota, etc.)
*
Your answer
Model of Vehicle (Grand Prix, F-150, Cherokee, etc.)
*
Your answer
Insurance Company Name
*
Your answer
Insurance Policy Number
*
Your answer
Is your vehicle a full size truck, van or SUV?
*
Yes
No
Do you plan to graduate early (December)?
*
Yes
No
Are you enrolled in the OTC Career Center?
*
Yes
No
Are you enrolled in the BHS Random Drug Testing Pool?
*
Yes
No
There is a $20 fee for parking per school year. Please check below that you understand and will pay this required fee no later than the first day of school or prior to driving to school. You may pay the parking fee here
https://bolivarschools.revtrak.net/
*
Check this box to indicate you will pay this fee.
Required
A copy of your responses will be emailed to the address you provided.
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