Port Jefferson, NY · Suffolk County

No notary required

Community Garden Gardener Agreement and Garden Rules

This agreement lets Port Jefferson residents apply to use a Beach Street Community Garden plot and accept the garden’s rules and liability terms.

What this form is

Gardeners complete this agreement to obtain a temporary right to use an assigned plot in Port Jefferson Village’s Beach Street Community Garden. It includes a liability waiver and release, indemnification terms, and attached rules covering plot care, access, conduct, and shared responsibilities. The Village requires gardeners to sign the agreement and follow the rules to participate in the garden.

Who needs it

Residents seeking a plot in the Beach Street Community Garden must complete the agreement and agree to follow its rules.

How to submit it

Complete the agreement on paper and mail or hand it in to the Village of Port Jefferson, Attn: Marissa Lebron, 121 West Broadway, Port Jefferson, NY 11777. The agreement says to pay a $40 plot-use fee when signing if it has not already been paid.

About notarization

This document is signed and dated without a notary; it does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download the Agreement

    Download the Community Garden Gardener Agreement and Garden Rules PDF.

  2. 2

    Complete the Agreement

    Fill in your gardener, address, phone, email, emergency contact, and plot information, then review the agreement and rules.

  3. 3

    Sign and Date

    Sign and date the agreement as the gardener; the Village also has a signature and date section.

  4. 4

    Submit to the Village

    Mail or hand in the completed paper agreement to the Village of Port Jefferson, Attn: Marissa Lebron, at 121 West Broadway, Port Jefferson, NY 11777.

Frequently asked questions

Do I need a notary for the Community Garden Gardener Agreement?
No. The gardener and Village sign and date the agreement; it does not identify any attachment or related step that must be notarized or sworn.
How do I submit the gardener agreement?
Complete it on paper and mail or hand it in to the Village of Port Jefferson, Attn: Marissa Lebron, 121 West Broadway, Port Jefferson, NY 11777.
What does the agreement cover?
It covers use of an assigned garden plot, liability waivers and release, indemnification, and the attached rules for garden access, plot maintenance, conduct, and shared responsibilities.
Is there a fee to use a garden plot?
The agreement states that a $40 fee is due when signing if it has not already been paid, and that annual fees are due thereafter.

Need something notarized?

This Community Garden Gardener Agreement and Garden Rules doesn’t need a notary — but if you have another Port Jefferson form that does, a commissioned online notary can help.