LHS Student Driver Application Form

LHS Student Driver Application Form

Driver Information
Name*

First NameLast Name
Student Email
example@example.com
Date of Birth*

MonthDayYear
Date
Driver's License Number*
Insurance Provider*
Insurance Policy Number*
Vehicle Tag Number*
Vehicle Make, Model, Color (ex: Ford Explorer, Red)*
Driver's License Upload

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Insurance Card Upload

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Parking Regualtions

1. Excessive tardies to school may result in suspension of parking privileges.

2. No speeding or reckless driving.

3. No illegal parking-only park in assigned space.

4. Decals are non-transferrable.

5. Decals must be hanging on rear view mirror (number facing the windshield). Student must have a valid driver's license and insurance
Parking is a privilege and may be revoked for failure to comply with school rules or parking guidelines.

Leeds High School is not responsible for the damage, loss, and/or theft of property

I have read and understand the terms of parking regulations at Leeds High School.
Signature*

Clear
Should be Empty:

Parking Regualtions