Parking Permit Application: Community- Brescia University College

Contact Information

Specify your relationship to Brescia*If you are committee member, please indicate the committee.

First Name*

Last Name*

Initial *

Email Address*

Phone Number*

Address*

City*

Province*

Postal Code*

Vehicle Information

Make*

Model*

Colour*

Plate Number*

Province/State*

Registered owner of vehicle *

Please complete the following if you have an additional vehicle you would like to add to this parking pass.

Make

Model

Colour

Plate Number

Province/State

Registered owner of vehicle

Do you require accessible parking?*

Yes

No

If you require accessible parking, please come to the Business Office (MSJ room 152) and provide evidence that you require accessible parking. Acceptable evidence will be a valid Ministry-issued accessible parking permit in your name or a letter from your medical doctor stipulating that temporary accessible parking is necessary that also clearly states the period during which accessible parking will be required. Brescia will then issue you a Western Accessible Parking hangtag (with an expiry date if the accessibility requirement is temporary) that must be displayed in your vehicle in addition to your Brescia paid parking hangtag.

By checking the box below, I agree to the Parking Permit Terms of Agreement.*

Yes