Blue Flag
Application Form

Blue Flag Pilot Beach Application

You may save this form and resume completion within 30 days.

Click here for more information about the criteria required for Blue Flag status.

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Has the municipality previously applied for pilot status for this beach?

Yes
No

If Yes, when?

If Yes, how many consecutive years has this beach been pilot status?

municipality been are

Information about the municipality/community

Please note: All fields are required. You may save this form at any stage and return to complete it within 30 days.

Name of municipality

Address

Region

Community

Phone number

Fax number

Email

Name of contact person

Function of contact person

Name of contact person during holidays

Function of contact person during holidays

Number of permanent residents

Number of residents during peak season

Number of beaches in the municipality

Number of beaches applying for the Blue Flag Pilot status

Name(s) of beaches applying for pilot status

GPS Co-ordinates of applying pilot beaches (one point, central to the beach) in Decimal Degrees:

Estimated maximum number of beach visitors per day in peak season

Estimated maximum number of beach visitors per day out of season

Estimated average number of visits per day in peak season

Estimated average number of visits per day out of season

Proposed length of pilot season (start and end dates)

How long is your beach (meters)

Do you or have you collected water quality samples at the pilot beach you are applying for over the past 4 years?

Yes
No

If yes, please describe the sampling history (number of years collecting samples and total number of samples collected)

What is the reason you are applying for Pilot status as opposed to Full status?

What do you need guidance and support with, in order to apply for Full Blue Flag status?

Please attach a high resolution photo (500KB) of your beach

Click or drag files to this area to upload. You can upload up to 5 files.

Municipality

Date

Signature

Clear Signature

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Blue Flag
Application Form

Blue Flag Pilot Beach Application

Information about the municipality/community

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Blue FlagApplication Form

Blue Flag Pilot Beach Application

Information about the municipality/community

Success!

Blue Flag
Application Form