Green Coast Application Form

Name of prospective Green Coast Site

Site Location (Please provide coordinates)

Municipality

Province

Eastern Cape
KwaZulu Natal
Northern Cape
Western Cape

Nearest town

Is this a first-time registration or re-application?

First-time registration
re-application

Briefly describe the site and why it should be considered for Green Coast status.

Green Coast Implementer (organisation/s leading the Green Coast initiative

Type of organisation

Main contact person

First

Last

Main contact person position

Main contact person (contact number)

Main contact person (email address)

Second contact person

First

Last

Second contact person (contact number)

Second contact person (email address)

Select the main site theme

Sensitive Habitat
Sensitive Species
Cultural Heritage

Briefly describe the selected theme and its conservation value

Who will be the main site Implementer?

Is the local municipality aware of or supportive of the registration?

Yes
No
In progress

Is there an MOU, support letter or working agreement in place?

Yes
No
In progress

Does the site have public access?

Yes
No
Access fee applies

Are basic services available or managed at the site?

Are any environmental education, clean-up or monitoring activities already taking place?

Yes
No
Planned

Briefly describe current or planned activities.

Please email supporting documents to greencoast@wessa.co.za (let us know below which documents you will be sending through

Examples: site map, photograph, municipal support letter, monitoring plan, tourism activity plan, waste or pollution plan.

I confirm that the information provided is accurate and understand that Green Coast registration does not guarantee award status.

Yes

Please or Do

Name of person submitting

Date

Do you have any questions? Please note them down here.

Green Coast
Application Form

Green Coast

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