Golf Cart Registration Form
Permit No.
___________
Sweeny Police Department
123 N. Oak Street | Sweeny, TX 77480
(979) 548-3111 | Version 1.0 Updated 03/2020
Owner/Registrar Info
First Name
Last Name
DOB
Full Address
Phone
Alt Phone
Email
Golf Cart Info
Make
Model
Color 1
Color 2
VIN
Insurance Info
Insurance Co
Policy #
Phone
Release & Indemnify
I attest I have been furnished a copy of the City of Sweeny’s Golf Cart Rules
& Regulations packet, and I state that I agree to comply with all conditions
contained in the document and to any local, state or federal laws governing
the use of golf carts.
Furthermore, I attest that I (and any user I allow to operate the golf cart)
shall indemnify and hold harmless the city for any and all civil liability
associated with the registration, and I (and any user) waive any and all
rights to sue or allow subrogation by the insurance company.
Signature