Special Needs Parking Permit Request

Contact Information

Name of Graduate:
Telephone of Graduate:
Name of Contact Person:
Telephone (work):
Telephone (home):
Name(s) of Guest(s) Needing Assistance:

For Event(s)

	BACCALAUREATE on Friday evening, May 2, 2008
	COMMENCEMENT on Saturday morning, May 3, 2008
	Guest uses a wheelchair, therefore your car will be parked on the Commencement field
	Wheelchair is electric Wheelchair is NOT electric
	Guest can ride in a golf cart (guests with wheelchairs do not need a golf cart)

Mail Pass To

Name:
Address:
City:
State:
Zip:

Additional Comments

Anything we should know: