Georgian Park Community Service Corp.

Resident Registration form

________________________________________________________________________
OWNER(S)
______________________________________________________________ _________
PROPERTY ADDRESS:                                              LOT #

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

___________________ __________________ ________ ______ _________________
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.

• All Rules and Regulations of the GPCSC Homeowner Association are enforced.
• Improperly parked cars will be towed at owners' expense.