2018 Pavilion Rental Application | Borough of McKees Rocks

Alcohol Permit

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Applicant Name *

Date of Application *

Month

Day

Year

Contact Phone *

Mailing Address *

Country *

Address 1 *

Address 2

City *

State *

ZIP code *

Event Information

Title/Purpose of Event *

Date Of Event *

Month

Day

Year

Time of Event *

Hour

Minute

Location of Event *

Approximate Number of Guests Attending *

Alcoholic Beverage Information

Type(s) of Alcohol to be served (wine, beer, spirits) *

Amount of Alcohol Purchased for the Event (number of cases, bottles, etc.) *

Applicant's Assent to Borough Alcohol Policy

Please indicate that you agree to comply with the following:

If the date or expected attendance of this event changes, I will notify the Borough at least 48 hours in advance. *

Yes

If the amount or type of alcohol to be served at this event should increase from what was indicated above, I will notify the Borough at least 48 hours in advance. *

Yes

No event attendee shall appear under the influence of alcohol or a controlled substance to the degree that he or she may endanger himself or herself or other persons or property, or annoy person within his or her vicinity. Any person foun in violation of this section will be subject to criminal charges. *

I acknowledge this policy

Leave this field blank