Vehicle Registration Form If you wish to park a vehicle on campus, you must submit the following form and report to the Office of Campus Safety & Security for your vehicle registration sticker. If your car is registered in a different country, please see the Director of Campus Safety & Security before submitting this form. Personal/Contact InformationFull Legal Name* First Middle Last Preferred Name First Middle Last Permanent Legal Residential Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number*Email Address* Vehicle InformationPlate #* State* StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Year* Make* Model* Color* I am a resident of Massachusetts AND my vehicle is registered in Massachusetts.* Yes No Vehicle Registration DocumentsEveryone who wishes to register a vehicle with Northpoint Bible College must submit the following documents.Copy of Driver's License*Accepted file types: jpg, jpeg, png, pdf, doc, docx, Max. file size: 2 MB.Proof of Insurance*Accepted file types: jpg, jpeg, png, pdf, doc, docx, Max. file size: 2 MB.Proof of InsuranceAccepted file types: jpg, jpeg, png, pdf, doc, docx, Max. file size: 2 MB.Copy of Vehicle Registration*Accepted file types: jpg, jpeg, png, pdf, doc, docx, Max. file size: 2 MB.Click here for instructions on how to scan a document using your phone.Terms & ConditionsI hereby apply for motor vehicle operating and parking privileges at Northpoint Bible College (Northpoint). I agree to abide by the regulations and procedures governing the operation of a motor vehicle on campus. I acknowledge that the Northpoint Bible College Department of Campus Safety and Security (Security), its employees, and agents has the authority to ticket, immobilize, or tow my vehicle at my expense if I or someone else in my vehicle violates the established rules and regulations of Northpoint and Security. I confirm that there is a valid and current registration for this vehicle and that this vehicle is properly insured. I understand that there is a fee to park on campus and that I must park where directed by Security. I hereby release Northpoint, Security, its employees, and agents from any and all liability for loss of or damage to my vehicle and items of personal property left therein. I also release Northpoint and Security, its employees, and agents from all liability for personal injuries that might result from my use of a vehicle at Northpoint.* I have read the above statement and agree to all of its provisions. Signature of Acceptance* Reset signature Signature locked. Reset to sign again By signing above, I certify that all information entered on this form is true and accurate to the best of my knowledge.Date* MM slash DD slash YYYY CAPTCHANameThis field is for validation purposes and should be left unchanged. Δ