Georgian Park Community Service Corp.Resident Registration form________________________________________________________________________ OWNER(S) ______________________________________________________________ _________ PROPERTY ADDRESS: LOT #OCCUPANTS:
Adults: Children:
__________________________________________ _____________________________
(age)
__________________________________________ _____________________________
(age)
__________________________________________ _____________________________
(age)
__________________________________________ _____________________________
(age)
Kind of Pet ____________________________________ Size of Pet ______ Lbs.
A Certificate from a licensed Veterinarian stating size and breed of
animal must be submitted with this application
____________________________________ ___________________________________
Home Phone Daytime Phone
VEHICLES:___________________ __________________ ________ ______ _________________ Make Model Year Color Tag ____________________________________________________ ___________________ Received Rules & Regulation Booklet Date $50. Registration fee for all Non-Owner Residents entering Georgian Park, checks payable to Georgian Park Community Services Corp.
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