I have read the item above and by typing the LAST FOUR DIGITS of my Social Security Number on this page, I understand it is considered a digital signature and understand that if accepted in HAVEN HOUSE, I agree and subject myself to all rules and regulations both present and future, including the waiver of any landlord-tenant rights I might have as respect to residency in HAVEN HOUSE. The nature of HAVEN HOUSE requires expulsion, without notice or refund, of any resident who is found to be using alcohol, drugs, or both.
IF ACCEPTED, YOUR SIGNATURE WILL BE REQUIRED AGAIN UPON ARRIVAL!"