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Parking Fee Waiver Form

* Denotes required fields.

*Name:
Student ID:
*Email:
*Phone:

This is to certify I should not be subject to the parking fee because:
	I do not own a car or drive a car to the Regent/CBN/Founders Inn/Regent Village parking lots I am a full-time Regent faculty or full-time Regent/CBN staff member

This is to certify:
	I have returned my parking sticker to Student Services, if one was issued to me, prior to submitting this waiver.

I understand that this waiver must be completed each semester (including summer). I understand that should my status as a non-car owner/driver change during the academic year, I must immediately notify the Business Office and make arrangements to pay the parking fee. I understand that the Parking Sticker Application is administered through Student Services.

Waiver requested for:
Signed:
Dated:	6/19/2013