RIVER BEND PARK REGISTRATION
PROPERTY OWNER(S)_____________________________ADDRESS_______________________________
CONTRACT OWNER(S)_____________________________ADDRESS______________________________
EMAIL ADDRESS___________________________________PHONE #_____________________________
LOT #________BLOCK#______________
PLEASE LIST CAMPERS AND VEHICLES USED IN PARK
YEAR MAKE MODEL VIN/SN#
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I, the undersigned Property owner (s) hereby acknowledge enjoyment and use of personal property and common
properties is subject to the following: Vehicle operation by me, and my family members and guests shall be in
compliance with Park rules and regulations, and local, state and federal laws for the vehicle(s) listed on this form; and
compliance with River Bend Park DOR. Services, amenities and common properties usage are available to property
owners who have paid their annual POA assessments.
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Signature Date
Please list the number of annual passes you need (maximum of 10)________________ These will be furnished after
assessments are paid and information is received. (Please return this form with assessment payment)