Employee Vehicle Registry

Please fill out the following form so that your vehicle will be included in the Rocky Point UFSD vehicle registry. If you drive different vehicles to work during the year, please be sure to complete one form for each of the vehicles that may be parked on school property. If you have any change in your vehicle information during the school year, please contact Gene Buchner at extension 7570. Thank you.

First Name *

Last Name *

School Phone Extension or School Voice mail (if applicable) *

Cell Phone Number *

Email Address (required) *

Please indicate what building(s) you work in. Check all that apply. *

Please indicate your job title by selecting one of the titles below: *

Make of Vehicle (ex.: Ford, Dodge) *

Model of Vehicle (ex.: Mustang, Corvette) *

Model Year *

Vehicle Color *

License Plate Number *

State *

If you drive a different vehicle to work from time to time, please submit this form and then complete an additional registration form to record the additional vehicle(s).