Consume Alcohol Application Form

CORRIGIN
RECREATION & EVENTS CENTRE
APPLICATION TO CONSUME ALCOHOL
Important Information
1.
2.
Applicants must be 18 years of age and over
This application is a request for permission to consume liquor at a Council Facility only. Under no circumstances does it
give the hirer authorization to sell liquor directly or indirectly or charge an entry fee to the function.
Approval to sell Liquor must be obtained from the Department of Racing, Gaming & Liquor www.rgl.wa.gov.au
Application to consume Alcohol should be submitted at the same time as the Facility Hire Application or a minimum 14
Days prior to your scheduled event.
3.
4.
5.
If approved, the original permit will be returned to the applicant. This permit must be readily available for inspection at
the facility on the date9s) of the Scheduled booking.
PART A – APPLICANTS DETAILS
Name
Organisation Name
Address
Email
Phone
PART B – FUNCTION INFORMATION
Location Requested
(please be specific)
Event / Intended Use
Will alcohol be sold?
Date(s) of Function
Time(s) of Function
Estimated Attendance
Conditions
I/We agree and undertake that in the event of this application being approved by Council, the following conditions will be strictly
adhered to:
1.
2.
3.
4.
5.
6.
7.
8.
Only members and invited guests of the applicant’s group, organization or club will consume alcohol on the premises and no
others.
Alcohol will not be consumed, supplied or made available to any person less than 18 years of age.
If it is the intention of the applicant to sell alcohol to any persons, , either directly or indirectly, a license must first be
obtained from the Department of Racing, Gaming and Liquor.
No alcohol will be supplied to or consumed by any person to whom a charge has been made, either directly or indirectly, for
admission to the facility, unless a license has been obtained from the Department of Racing, Gaming and Liquor.
Alcohol consumption is restricted to the location specified in this application only and is not to be consumed outside of these
premises.
Toilet facilities will be made available at all times during the function.
Consumption of alcohol must cease at 12.00 midnight at which time the function must end. Cleaning activities may be
undertaken until 1.00am, however all guests must have vacated by midnight.
The Applicant must comply with provisions of the Liquor Licensing Act 1998
Applicants Signature _____________________________________ Date __________________________________
The Shire of Corrigin extends its permission for the consumption of alcoholic beverages at the above location and for the date(s)
and time(s) details above in accordance with any conditions imposed. This permit does not authorize the sale of alcohol.
☐ APPROVED
☐ APROVED WITH ADDITIONAL CONDITIONS
☐ REJECTED
Signed:____________________________________________________________ Date _________________________
Rob Paull, Chief Executive Officer