APPLICATION TO CONSUME
CONSUME ALCOHOL
AT A COUNCIL FACILITY
FACILIT
City of Mandurah Recreation Services – 3 Peel Street, Mandurah (PO Box 210)
Phone: 9550 3601
Fax: 9550 3737
Email: [email protected]
Important Information
1. Applicants must be 18 years of age & over.
2. This application is a request for permission to consume liquor at a Council Facility ONLY. Under no
circumstances does it give the hirer authorisation to sell liquor directly or indirectly or charge an
entry fee to the function.
3. Approval to sell Liquor must be obtained from the Department of Racing, Gaming & Liquor
http://www.rgl.wa.gov.au
4. Liquor Consumption Applications should be submitted to Recreation Services at the same time as your
Facility Hire Application or a minimum 14 days prior to your scheduled event.
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 date(s) of the scheduled booking.
Application Details
................................................. (insert name of applicant or group),
On behalf of ................................................................
application is hereby made to the City of Mandurah for the consumption of liquor at the following
f
Council
owned facility
FACILITY REQUESTED:
INTENDED USE:
$30.00 CASUALPERMIT
$100.00 SEASONAL PERMIT
DO YOU INTEND ON SUPPLY BULK ALCOHOL? (eg keg beer) PLEASE SPECIFY:
ESTIMATED
ATTENDEES:
DATE(S) OF
FUNCTION:
TIME(S) OF
FUNCTION:
APPLICATION TO CONSUME
CONSUME ALCOHOL
AT A COUNCIL FACILITY
FACILIT
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. Only invited guests or bona fide members of the applicant’s group, organisation or club will consume liquor
on the premises and no others.
2. Liquor will not be consumed, supplied or made available to any person under the age of 18 years of age.
3. If it is the intention of the applicant to sell liquor to any person, or exchange for value, either directly or
indirectly, a permit must first be obtained from the Department of Racing, Gaming
Gamin and Liquor.
4. No liquor will be consumed by or supplied to any person to whom a charge has been made, either directly
or indirectly, for admission to the facility, unless a permit has been obtained for the Department of Racing,
Gaming and Liquor
5. Alcohol or other drinks are not to be served in glass containers (including stubbies, bottles, jugs and
glasses) and will only be supplied by the Hirer in cans or plastic cups.
6. Supply by the Hirer of any bulk alcohol (including keg beer) will incur a higher bond.
7. Alcohol consumption is restricted to the premises hired only and is not to be consumed outside these
premises. Consumption on public open space or reserve areas is considered illegal.
illegal
8. Consumption of Liquor permits are only valid until 12:00pm midnight at which time the function must
cease. Cleaning activities may be undertaken until 1:00am, however all guests must have vacated by
midnight.
9. The Hirer must comply with provision of the Liquor Licensing Act 1988.
NAME OF APPLICANT: ....................................................
................................
SIGNATURE OF APPLICANT: ..........................................
................................
DATED: ...............................
The City of Mandurah extends its permission for the
consumption of alcoholic beverages at the above location,
and for the date(s) and time(s) detailed above in
accordance with any condition imposed.
This permit does not authorise the sale of alcohol.
The appropriate license must be obtained from the
Department of Racing,
acing, Gaming and Liquor.
Liquor
FOR OFFICE USE ONLY
RECEIPT NO: .....................................................
................................
RECEIPT DATE: .................................................
................................
PERMIT NO: ......................................................
................................