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DECAL # LOT:□CARDINAL 1□□CARDINAL 2GOLD(For office use only)GERMANTOWN HIGH SCHOOLMaverick Student Parking - $402020-2021Form must be complete to receive a Student Parking Pass (i.e.: completed parking form and parent/student signatures for Drug Consent Form). Incomplete forms will cause a delay in a parking pass being issued.PLEASE PRINTSTUDENT NAME:GRADE:STUDENT DRIVER’s LICENSE #:PARENT CONTACT INFORMATION:NAMECELL PHONE#FATHER:MOTHER:VEHICLE INFORMATION:(Any vehicle that will be driven/parked in student’s assigned parking space)YEARMAKE/MODELCOLORTAG NUMBERYESWe, both parent and student, have read and signed the Madison County School ParentDistrict Drug Consent Form on the back of this form. ) Please initialStudentMETHOD OF PAYMENT(PTO USE ONLY):CASH:CHECK #DATE:Note: Replacement Passes will be issued for an additional $5.00 fee ................
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