Student Last Name: Student First Name: Parent/Guardian Name: Address: City, State, ZIP: Student’s Cell Number: Parent’s Phone Number: High School (circle one) ECHS or SEHS Grade 12 11 10 Date of Birth:Parking Application, Agreement & Release • July 16th, 2021
Contract Type FiledJuly 16th, 2021Description of Vehicle: Make (Chevrolet, Nissan, etc.) Model (Accord, S-10,F-150, etc.) Year Color Tag # Driver’s License # Date Driver’s License Issued Insurance Company Insurance Policy #