USM Student Vehicle Registration

First Name

Last Name

USM Student ID Number

Email Address

Mobile Phone Number

Permit Type Needed

Vehicle Make (Ford, Chevy, Honda, etc.)

Vehicle Model (Camry, Accord, F-150, etc.)

Vehicle Color

Vehicle Year

Vehicle License Plate Number

Vehicle License Plate State

I agree that the information provided is true and correct. I agree to the following campus parking and traffic regulations which are documented in the Student Handbook located at https://www.stmary.edu/handbook. If any of the above information changes I will notify the security office immediately. I also understand the University of Saint Mary parking areas are private property and my vehicle is subject to being towed at the owner's expense if the vehicle is parked in violation of parking rules.

By typing my name below and clicking the submit button, I agree and understand that the electronic submission of this form constitutes my official signature as stipulated by the University of Saint Mary and the state of Kansas.

Please Type YOUR SIGNATURE:

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