REQUEST FOR ADDITIONAL VEHICLE PERMIT: You may purchase an additional permit for a secondary

vehicle if you provide a copy of this vehicle’s registration, check or cash for $10 fee and this completed
form. This registration must clearly state the home address of the student. must be affixed
to the upper left hand corner (driver’s side) of the windshield of this vehicle.

is not transferrable in any way to another vehicle. Misrepresentation will result in revocation
of all permits in this student’s name and administrative 2019-20
FOR OFFICE
Student Name Permit #
USE ONLY
Vehicle Plate # Vehicle Make Vehicle Model
PERMIT # ________
Vehicle Body Style Vehicle Color Vehicle Year
Secondary Permit
Vehicle Registered To/Relationship to Student Address on Registration Purchase Date:
_______________
This additional permit is assigned to a secondary vehicle registered to our home. We understand that the same rules and
Permit Revoked:
regulations associated with the original CFHS Parking Permit purchase pertain to this Secondary Permit. This Secondary Permit is
NOT transferrable in ANY way for another student’s use. Reissue is the responsibility of CFHS. Lost or destroyed permits will incur _______________
a $10 replacement fee.
Seller’s Initials:
We certify that the information on this application is correct and we understand the conditions of this student driving to school.

__________ Revised
______________________________________________ ___________________________________________________ Revised
Parent/Guardian Signature Student Signature 5.30.19
6.26.18