Online Resident Beach Permit Application

Resident-Only Beach Permit Application.

This Application is for Residents Only to purchase Beach Permit(s) online for the 2024 season using a credit card. Guests may purchase Seasonal Guest Passes using the Seasonal Pass Form.
The Mattituck Beach Permit is availible for purchase by Residents of the Mattituck Park District, which includes all of the Hamlet of Mattituck and the Southold Town portion of the Hamlet of Laurel.

Each Owner/Year-Round Resident household may purchase up to 4 permits for immediate family members.

The permit is valid at the following locations:
- Veterans Memorial Park
- Breakwater Beach Park
- Peconic Bay Park/Mattituck Yacht Club
Please Note: The Beach Permit shall be permanently affixed on any PASSENGER side window.
Do you own property within the Mattituck Park District or reside there as a year-round renter? *

YesNo
How do you wish to receive your Beach Permit(s)?*

Mail to Local AddressMail to Other Mailing Address
Property Owner/Year-Round Renter Name*

First NameLast Name
House № & Street:*
Hamlet:*
Email:*
example@example.com
Mailing Address for Permit (Or If Different from Street Address):

Street Address/PO Box

Street Address Lin

CityState

Zip
Permit Rules

(Please read)
1. This permit is valid for the year and vehicle specified above and designated Permitee.
2. The Permitee is governed by all rules and regulations of the Mattituck Park District.
3. Permitee indemnifies and holds harmless the Park District from all claims, damages, expenses, suits and losses including but not limited to attorney’s fees arising from Permitee’s use of the Park District property and activity in connection with this permit.
4. Resident and Guest Beach Permit decals MUST BE DISPLAYED ON DESIGNATED VEHICLE; PERMITS ARE NOT TRANSFERABLE.
5. The permit decal is to be placed on any PASSENGER-SIDE DOOR WINDOW. Any vehicle not displacing a Beach Permit Sticker will be towed at owner’s expense. Any vehicle not displacing a Beach Permit Sticker will be denied entry.
6. Any violation in connection with this permit will terminate the validation immediately.
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that falsified statements on the application shall be grounds for termination. I have read, understand, and agree to the above rules governing beach permits and accept the disclaimer and liability waiver and sign it of my own free will. Once this form is submitted and payment is made, refunds will not be issued.

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Resident Beach Permit$25.00

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Resident-Only Beach Permit Application.

Permit Rules

Credit Card