Boat Ramp Season Permit Application
This form may be printed and mailed to the address below, along with proof of residency for each applicant, and proof of age for Senior permit.

Last Name:
First Name:
Age:
Street Address:
City:
County:
State:
Zip Code:
Home Phone:

Permit Category (Check One): Resident Adult - $50 Resident Senior (60 and Over)* - $30 Non-Resident Adult and Senior - $75
*Please attach proof of age with payment or bring it with you if paying in person.

Type of Boat:	Cabin Open Sail PWC
Length of Boat:
Make:
Trailer or Transport Vehicle License Number:
Boat Registration Number:

Make Check Payable to: Treasurer - Middlesex County

Mail to:

Middlesex County Department of Parks and Recreation P.O. Box 661 New Brunswick, New Jersey 08903

Your permit will be mailed to you within ten days only to the address you have entered above.

Or Apply In Person:

Middlesex County Department of Parks and Recreation Johnson Park, River Road & Hoes Lane, Piscataway Phone: (732) 745-3900 * Monday - Friday * 8:30am - 4:00pm