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2. 
4. Application for Permit for Possession and Consumption of Alcoholic Beverages in a City Park
8. Date/Time Application Received from Applicant
10. GROUP, ASSOCIATION, OR ORGANIZATION INFORMATION
12. Name of Organization*
13. Phone Number*
15. Address1*
17. Address2
19. City*
20. State*
21. Zip*
25. CONTACT PERSON INFORMATION
27. Name*
29. Address1*
31. Address2
33. City*
34. State*
35. Zip*
37. Position with organization*
38. Phone Number*
42. EVENT INFORMATION
44. Type/Purpose of Event*
46. Location of Event*
47. Estimated Number to Attend*
49. Date(s) of Event*
50. Time(s) of Event*
52. Alcoholic beverages will be served and/or supplied by personal means of those attending.*

    1. served
    2. supplied
54. Please Explain*
56. For events in which the attendance is estimated to be 25 or more persons, this permit may be conditioned upon employment of off-duty police or other approved security. The Chief of Police or his designee may, upon documented complaint or violation of the law, suspend and confiscate the permit. PERMITS ARE NON-TRANSFERABLE
60. Disclaimer*

    1. Yes

    1. No

    I understand that this permit is not valid without proper payment/receipt if applicable and must have City Official approval/signature.
Leave This Blank:


62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit Submit and Print

* indicates a required field