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ANNUAL HENDERSON BEACH PASS (RESIDENTS ONLY)

2. Please complete the online form below to apply for an annual Henderson Beach Pass. DESTIN RESIDENTS ONLY
   Once your information has been verified by city staff, a payment link will be emailed to you to remit payment prior to mailing or pickup by 4:30 PM during normal business days.

   Once your information has been verified by city staff, a payment link will be emailed to you to remit payment prior to mailing or pickup by 4:30 PM during normal business days.

4. SECTION 1: APPLICANT INFORMATION

6. First Name*

7. Last Name*

9. Residence Address1*

11. Unit, Apt, etc

13. City*

14. State*

15. Zip*

17. Preferred Phone Number*

18. Alternative Phone Number

20. Email Address*

22. SECTION 2: CHOOSE ONE OF THE FOLLOWING

24. Type of Pass*

    1. Resident Pass $30.00

    1. Senior Resident Pass $25.00 (65 years of age or older)

26. Payment Information
    Once your information has been submitted and verified, you will receive a link to remit a credit card payment online.

    Once your information has been submitted and verified, you will receive a link to remit a credit card payment online.

28. Applicant must submit a copy of the following:
    Attachments can be uploaded in the following formats: .jpg, .png, .pdf

    Attachments can be uploaded in the following formats: .jpg, .png, .pdf

30. Valid Florida Driver's License or State of Florida Identification Card*

    Please upload a copy of your valid Florida Driver's License or State of Florida issued Identification Card that includes the applicant street address confirming the physical address of their residence within the incorporated city limits of Destin.

32. *Limit one pass per household.

34. Passes will be processed and made available for delivery or pickup before 4:30pm during normal business days.

36. Pass Delivery or Curbside Pickup*

    Please choose a way to receive your pass. If you select to pick up your pass in person, an appointment will have to be scheduled for curbside pickup.

    1. Mail to Resident Address

    1. Pickup In-Person at City Hall By Appointment
38. Affirmation*

    1. I hereby affirm that I am a full-time Destin resident, and to the best of my knowledge and belief all of the information I have furnished in connection with this application is true and complete.
40. Any information submitted via online requests may be subject to a public records request.

Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field