Monthly Guest Application Form Leisure Lane RV Resort does not discriminate on the basis of race, sex, religion, nationality, disability, age, veteran’s status or any other classification protected by law.Date:(Required) MM slash DD slash YYYY Estimated Arrival Date(Required) MM slash DD slash YYYY Location:(Required) The Woodlands Magnolia Pinehurst Conroe General Information:Name(Required)Present Address(Required)City(Required)State(Required)Zip(Required)Phone(Required)Date of Birth(Required) MM slash DD slash YYYY Driver’s License Number(Required)State(Required)Driver's License Upload(Required) Drop files here or Select files Accepted file types: jpg, pdf, Max. file size: 56 MB, Max. files: 2. (please attach copy of driver’s license for verification purposes)List name, age and relationship of all other persons authorized (Other Occupants) to occupy the recreational vehicle:NameAgeRelationshipNameAgeRelationshipNameAgeRelationshipRental/Criminal History (Primary Guest and all Other Occupants): Primary Guest:Name & Address of Present Landlord(Required)Telephone No. of Present Landlord(Required)Date Moved In(Required) MM slash DD slash YYYY Date Moved Out(Required) MM slash DD slash YYYY Name & Address of Previous Landlord(Required)Telephone No. of Prior Landlord(Required)Date Moved In(Required) MM slash DD slash YYYY Date Moved Out(Required) MM slash DD slash YYYY Other Occupants:NamePhoneAddressNamePhoneAddressNamePhoneAddressHas either Primary Guest or any Other Occupant(s) (listed above) ever (check if applicable):Been evicted or asked to move out? Yes No Broken a rental agreement or lease contract? Yes No Been or are currently delinquent to a previous landlord? Yes No Received deferred adjudication for a Felony? Yes No Been convicted of a Felony? Yes No Vehicles:List all vehicles to be parked on property:Type of RV(Required)Make(Required)Length(Required)Year(Required)License No. State(Required)Slide out(s)? Yes or No If yes, how many(Required)Make of vehicleYearLicense No. StateMake of vehicleYearLicense No. StateEmergency:In case of emergency, notify:Name(Required)Phone(Required)Relationship(Required)Pets:Will a pet be staying onsite?(Required)Will a pet be staying onsite?YesNoIf yes, please list the type, breed, and weight of pet:(Required)*** ALL BLANKS MUST BE FILLED IN WITH REQUESTED INFORMATIONThe undersigned Primary Guest, and all Adult Other Occupants represent that all of the above information is true and complete and authorize the verification of same by any means. Primary Guest and all Adult Other Occupants acknowledge that an investigative consumer report including information as to the character, general reputation, mode of living, whichever is applicable, may be made. Anyone on which a consumer report is made has the right to request additional disclosures and a written summary of the rights of a consumer under the Fair Credit Reporting Act. False information given shall entitle RV Park to: (1) reject this application; (2) retain the deposit in accordance with the site rental agreement; and (3) terminate Primary Guest’s right of occupancy in accordance with the site rental agreement. False information may also constitute a serious criminal offense under the laws of this State.Dated effective as of the date written below.Primary Guest:SignatureName(Required)Date(Required) MM slash DD slash YYYY Adult Other Occupant(s):SignaturePrinted NameDate MM slash DD slash YYYY CAPTCHA Δ
