Port Jefferson, NY · Suffolk County
Application for Use of Village Raised Garden Bed at Beach Street Community Garden
Port Jefferson residents and nonresidents use this application to enter the lottery for a raised bed at the Beach Street Community Garden.
What this form is
This application enters a resident or nonresident in the lottery for a raised bed at the Beach Street Community Garden for the 2026 gardening year. It asks for contact details, residency status, and preferences for an accessible bed, and requires a signature, printed name, and date. Applicants must include payment and review the garden rules; selected applicants will later be asked to complete the garden rules and liability forms.
Who needs it
Anyone seeking a raised bed at the Beach Street Community Garden for the 2026 gardening year must submit this application.
How to submit it
Mail or deliver the completed application and a check or money order to Raised Bed Lottery, Village Hall, 121 West Broadway, Port Jefferson, New York 11777, to the attention of Marissa Lebron.
About notarization
This application is signed and dated without a notary; selected applicants are later asked to complete the Beach Street Garden Rules and liability forms, with no notarization stated.
How to submit this form
- 1
Download the Application
Download the 2026 raised garden bed lottery application.
- 2
Complete the Application
Enter your contact information, indicate your residency status and bed preference, then sign, print your name, and date the form.
- 3
Review the Garden Rules
Review the Beach Street Garden Rules and corresponding liability waivers before submitting, as required by the application.
- 4
Include Payment
Include a check or money order for the listed resident or nonresident annual fee.
- 5
Submit to Village Hall
Mail or deliver the application to the Raised Bed Lottery at Village Hall, addressed to Marissa Lebron.
Frequently asked questions
- Do I need a notary for the raised garden bed application?
- No. The application requires a signature, printed name, and date, but no notary. If selected, you will be asked to complete the Beach Street Garden Rules and liability forms; the application does not say those require notarization.
- How do I submit the raised garden bed application?
- Mail or deliver the completed application and check or money order to Raised Bed Lottery, Village Hall, 121 West Broadway, Port Jefferson, New York 11777, to the attention of Marissa Lebron.
- What payment must accompany the application?
- The form lists an annual fee of $40 per bed for Village residents and $75 per bed for nonresidents. Submit a check or money order with the application; payment is returned if you are not selected.
- What happens if I am selected for a raised bed?
- Selected applicants will be prompted to complete the Beach Street Garden Rules and liability forms. Gardeners must maintain their plots throughout the season and volunteer at least two hours per month.
Need something notarized?
This Application for Use of Village Raised Garden Bed at Beach Street Community Garden doesn’t need a notary — but if you have another Port Jefferson form that does, a commissioned online notary can help.
