
NAME (Please
Print):_____________________________________________________
GENISYS ID # :
___________________________________
EMAIL ADDRESS:
___________________ PHONE :
__________________
__ 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.
I understand that this waiver must be completed each semester (including summer).
SIGNED:
______________________________________
DATE: _______________
Return to:
Regent University Business Office, ADM 134
1000 Regent University Drive
Virginia Beach, VA 23464
Phone: 757.352.4059, Fax: 757.352.4342