Parking Registration Form
Today's Date
Name
Student ID Number
Phone
Email
Local Address (include City, State, Unit/Box)
Resident Hall Occupant
Yes
No
Permit Type
Please select...
A....Faculty/Staff
B....Commuter
C....Humbert
R....Apartments
T....Thomas/Heidepriem/Bordeaux
W....Wenona Cook
YC....Young Center
License Plate Number
Make
Model
State
I agree to comply with the university parking and traffic regulations as published, and have received a copy. (Refer to parking and traffic regulations for detailed information.) I also understand that I am fully responsible for my vehicle while it is on the BHSU campus.
I agree
I disagree
Payment
Please select...
I would like to pay online.
I would like to pay at pick up.