Application for Long-Term Stay at Greenpeace Park-Greenpeace RV Park

Application for Long-Term Stay at Greenpeace Park

Please complete this form to help us ensure a thriving community at Greenpeace Park. All information is required.

Desired move-in date and estimated length of stay

First Name

Last Name

Date of Birth (yours)

Cell Number

Driver's License Number and State of Issue

If you have a Spouse or Co-Applicant, enter their name here (First and Last)

Relationship of Spouse/Co-Applicant

Spouse

Friend

Co-worker

Other Family Member

Spouse/Co-Applicant Date of Birth

Spouse/Co-Applicant Cell Number

Email of Spouse/Co-Applicant

Spouse/Co-Applicant Driver's License Number and State of Issue

EMERGENCY CONTACT NAME (must be someone NOT living with you)

Emergency Contact Phone Number

Emergency Contact Address

Current Address

Landlord's Name at Current Address

Landlord's phone number at Current Address

Dates of Stay at Current Address

Reason for leaving Current Address

Prior Address

Landlord's Name at Prior Address

Landlord's phone number at Prior Address

Dates of Stay at Prior Address

Reason for leaving prior address

Will there be additional occupants aside from you and your spouse/co-applicant?

YES

Enter the NAME, AGE, and RELATIONSHIP of all additional occupants

Employer

Current Supervisor NAME and PHONE NUMBER

Tell us about your RV

Enter your RV's tag number and state of issue

Does your RV have any external damage or require any tarps?

YES (please explain in the space provided at the end of this form)

Tell us about any other VEHICLES to be parked at your site

Tell us about any PETS you will have at your site (Proof of spay/neuter and vaccination will be required)

Check any of the following items that apply to YOU or YOUR SPOUSE/CO-APPLICANT. Any checked items will require explanation at the end of this form.

Have you ever been evicted?

Has any landlord ever asked you to move out?

Have you ever filed for bankruptcy?

Have you ever been convicted of any crime?

Have you ever been registered as a sex offender?

Are there any pending criminal matters involving you?

Check any of the following items that apply to ANY OCCUPANT of the site. Explanation required for any checked boxes.

Has any landlord ever asked you to move out?

Have you ever been convicted of any crime?

Have you ever been registered as a sex offender?

Are there any pending criminal matters involving you?

Explain any answers here

Disclosures and Consent for Background Check and DEPOSIT POLICY:

Applicant(s) certify that all information given is true and correct. Applicant(s) hereby grant permission to contact any references listed to verify accuracy of this application and to run a credit/crime report, and release the Park Owner or any party providing information to Park Owner from any and all liabilities. I/we understand this is an application for the use of an RV Site and does not constitute a rental or lease agreement. If this application is approved and I/we decide to use the site, I/we agree to be bound by any and all park rules. Providing false, incorrect or incomplete information by the applicant(s) may, within discretion of Park Management, result in an automatic rejection of this application. The Applicant(s) understand(s) that if any of the above information cannot be verified by Park Management, the application may be denied. Any questions regarding rejected applications must be submitted in writing to Greenpeace RV Park PO BOX 28004 Atlanta, GA 30358, and accompanied by a self-addressed stamped envelope.

A DEPOSIT OF $100 IS REQUIRED TO RESERVE A LOT, once you are notified by us that a lot is availble. Your lot will be made available as soon as the prior tenant departs, and that is the date your rent will begin. We cannot hold an empty long-term lot pending your arrival unless you are paying for the lot from the date it is available for you. We do prorate monthly rent for mid-month arrivals, and that will be reflected in your initial invoice after arrival. Cancellation after payment of deposit must occur no later than 72 hours prior to your planned arrival, or your deposit will be held. Cancellation greater than 72 hours prior to arrival will allow us to refund your deposit.

For APPLICANT: I have read and agree to the Disclosures and Consent for Background Check and DEPOSIT POLICY

For SPOUSE/CO-APPLICANT: I have read and agree to the Disclosures and Consent for Background Check and DEPOSIT POLICY