Student Name * First Last
Will you be driving to school most every day? * Yes No
Make *
Model *
Year
Color *
License Plate number *
Policy Reminder: In accordance with federal Tile IV Safe & Drug-Free Schools & Communities Act (SDFSC), controlled substances (such as illegal drugs, alcohol, & tobacco) and weapons, firearms, and any items used with the intent to inflict physical harm are not allowed on school property. Therefore, I understand that any school administrator can search my vehicle while parked on school grounds for any reasons. By placing my name below I agree to the policy requirements. *
Date * / MM / DD YYYY

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