Lifetime Veterans Application

The Mattituck Park District welcomes Mattituck and Laurel veterans to use the parks and recreational facilities operated by the Mattituck Park District. For a description of these facilities visit mattituckparks.com .

The veteran (as well as those in the vehicle with the current MPD Beach Permit) is entitled to free use of facilities operated by these offices, for which there is normally a charge.

The MPD Beach Permit issued to veterans is not valid for waiver of fees for services operated by an outside concessionaire.

Qualifications and requirements are described within the application.

Annually, the MPD will contact the veteran to confirm appropriate eligibility.

To ensure that your application can be approved for processing please be sure that all of the items below are submitted to the office either by mail (Mattituck Park District PO Box 1413 Mattituck, NY 1195), in person, or scans via email (events@mattituckparks.com) after completing this application.

Copy of your current Driver License, Non-Driver Identification Card.
If ID is not from Mattituck or Laurel, please also provide a copy of your Southold Town tax bill.
Copy of proper certification such as a DoD CAC or a DD-214 from the VA.

Please allow 2 weeks for processing of this application.

For questions contact our office during regular business hours.
631-298-9103

Do you own property within the Mattituck Park District or reside there as a year-round renter? *

YesNo

Are you a current or honorably discharged veteran?*

YesNo

Property Owner/Year-Round Renter Name*

First NameLast Name

Please provide your date of birth mm/dd/year* .

Address:*

Street Address

City

Hamlet

Zip Code

Email:*

example@example.com

Phone Number (Including Area Code) if You Do Not Use Email:*

I certify that the information provided is true to the best of my knowledge and believe and understand that any person who knowingly files a statement containing any materially false information, or conceals for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent act. ANY FALSE STATEMENT MADE HEREIN IS PUNISHABLE AS A CLASS “A” MISDEMEANOR PURSUANT TO SECTION 210.45 OF THE PENAL LAW.

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 the acceptance of entering into a rental agreement with the MPD and accept the disclaimer and liability waiver and sign it of my own free will.

Signature

Lifetime Veterans Beach Permit Application

Permit Rules