Student Parking Permit

Student Parking Permit Application

Parking your car on school property is a PRIVILEGE not a right
Demographic Information
Before completing this application. Please review the student parking regulation located here.
Student

First NameLast Name
Student Driver's License Number
Parent / Guardian

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Contact Number

Vehicle / Insurance Information
Vehicle Information
Insurance Information

File Uploads

Place upload a copy of your driver license as well as proof of insurance.
Student Driver's License
File Upload

Cancelof
Insurance Card
File Upload

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I, {student} / {parent18}, have read the student parking regulations located here.

I also hereby agree to the below stated terms and responsibilities in connection with obtaining authorization to use the school parking facilities.

I understand that the parking lot is private property which is under the control of the school. I will prominently display the parking permit on the vehicle designated for access below. I agree that the authorized vehicle will not be used to transport or store contraband of any kind or use the lot in any way that will violate the school district code of conduct or criminal law.

I hereby understand and give the Wilkes-Barre Area School District my consent to search the authorized vehicle when it is parked on school property.

Once your application has been approved, district personnel will reach out and provide further information on obtaining your parking permit.
Student Signature

Clear
Parent/Guardian Signature

Clear
Should be Empty: