<p> CAMPUS SAFETY DEPARTMENT</p><p>VEHICLE PERMIT NUMBER: ______</p><p>VEHICLE REGISTRATION FORM</p><p>All motor vehicles that are driven or parked on campus must be registered. For each vehicle that is registered, the driver will be issued a Kuyper College vehicle parking permit. The twenty dollar ($20.00) vehicle/parking fee is included within the Annual Student Life Fee and has already been charged to your account. Please note that there will be a $20 replacement fee should you lose your parking permit.</p><p>To register your vehicle(s) and receive your vehicle permit(s), a completed vehicle/parking registration form for each vehicle must be submitted to the Campus Safety Office prior to parking over night on campus.</p><p>FULL NAME: ______Check All That Apply</p><p>CAR MAKE: ______On-Campus Freshman</p><p>CAR MODEL: ______On-Campus Upper Classmen</p><p>VEHICLE YEAR: ______Commuter</p><p>COLOR: ______Staff/Faculty</p><p>LICENSE PLATE: ______</p><p>STATE/PROVINCE: ______</p><p>______Signature Date</p><p>****************************************************************************** ADMINISTRATIVE USE ONLY</p><p>Officer Issuing Permit ______Date ______</p><p>Entered Into Parking Permit Data Base Officer ______</p><p>Permit Returned Return Date ______</p>