Wyrick FIRST NAME Ronen Office Use Only:

LAST NAME:
Permit # Initials:
Resident or Commuter Deposit by: ck or cash
(Please circle one)

PATRICK HENRY COLLEGE

Vehicle Storage Agreement for
Summer Break 2023

I intend to leave my vehicle stored on campus for the duration of Summer Break (5/3/2022 - 8/13/2022). I agree
to abide by the rules and regulations set forth below, and understand that any violation thereof I will be subject to
a $100 fine and/or having my vehicle towed at my expense.

Specifically, I agree that:

1) My vehicle will display a Spring 2023 parking permit on the rear lower driver's side windshield of my registered vehicle
at all times while being stored.

2) I will only park my vehicle in the gravel parking lot for the duration of the summer break.

3) I will maintain a current vehicle license and registration through the state Department of Motor Vehicles where my
vehicle is registered.

4) My motor vehicle must be in a drivable, street-legal and road worthy condition prior to storing my vehicle on campus for
the duration of this agreement.

5) I have and will maintain liability insurance on my vehicle as required by the state in which my vehicle is registered.

6) I will only store one motor vehicle on campus for the duration of this agreement.

7) I will not hold Patrick Henry College liable for any loss or damage to vehicle while being stored.

Make Color
Toyota Red
Model License plate
Corolla CGM6013
Year State of registration
2010 Washington

05/03/23
Student Signature: Date: