Owner Registration | Halelani Village at Puhi

About this form

Every unit at Halelani Village must have a current registration on file with the management office. This form captures occupants, vehicles, pets, emergency contact, and (if applicable) rental agent information.

Please list all occupants including children. If you have more than 2 vehicles or pets, or more than 11 occupants, add rows as needed or mention them in the Notes field at the bottom.

Unit # *

Date *

Household Representative (Name) *

Email *

Primary Phone *

Work Phone

Mailing Address

If different from your unit address.

Street

City

State

ZIP

Occupants

List all occupants including children. Phone is required for adults only.

Emergency Contact

Someone outside the household we can reach in an emergency.

Name (First and Last)

Primary Phone

Secondary Phone

Vehicles

Pets

Cats, dogs, birds, etc.

Rental Information

This unit is a rental (owner does not occupy).

Additional Notes

Notes (optional)

House Rules Acknowledgment. By submitting this form, you confirm that you have been made aware of the Halelani Village House Rules and have received a copy. Please note the strict enforcement of waste materials: bulk trash, toxic chemicals, electronic waste, green waste, and unflattened cardboard are subject to immediate fines with no warning, starting at $100.00.

I acknowledge that I have read and understand the House Rules above, and confirm that the information provided on this form is accurate to the best of my knowledge. *

Your submission and timestamp will serve as your electronic signature. You may be contacted by the management office to confirm details or request additional information.

Questions? Call the Halelani Village Management Office at (808) 246-8759 or email manager@hvpkauai.com.