GOLF CART REGISTRATION
Town of Beaux Arts Village, Washington
LAST NAME:________________________________ FIRST NAME:_________________________ MI:____
ADDRESS:_____________________________________________________________________________
PHONE:____________________________________ EMAIL:____________________________________
GOLF CART YEAR:____________________________ MAKE/MODEL:______________________________
SERIAL:____________________________________
Check one: New Registration ____ Renewal _____ (if renewal, ID # BAV_______ )
ANNUAL REGISTRATION FEE (must be paid in January of each calendar year): $30.00
My initials and signature below verify that I:
Have received and reviewed Chapter 10.15 of the Beaux Arts Village municipal code governing
golf cart operations and restrictions. _______initials
Relieve Beaux Arts Village of all liability regarding my golf cart and its operation. _______initials
Understand that Beaux Arts Village is neither inspecting my golf cart nor guaranteeing its
condition or safety. But understand that my golf cart must be equipped with headlight, tail-
lights, seatbelts, and rearview mirrors. ______initials
Understand that I and/or anyone who drives my registered golf cart must have valid Washington
State Drivers License and will obey the rules of the road knowing that I or a licensed driver
driving my golf cart can be cited for violating said rules. ______initials
Understand that I and/or anyone who drives my registered golf cart must have proof of
insurance when operating my registered cart. ______initials
Must renew my annual registration and pay the registration fee every January. ______initials
My signature indicates that I have given the proper information in regards to my golf cart that I own. By
signing below verifies that I understand all that is required all that is required to operate my golf cart.
Signature:__________________________________________________ Date:____/____/____
TOWN USE ONLY:
ASSIGNED CART IDENTIFICATION NUMBER: BAV Date:____/____/____
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