Alcohol Permit Form If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Contact Person's Email Address * Event Name * Event Date * Time Range of Alcohol Service * Location Type * Indoor Outdoor Both indoor and outdoor Room/Location of Event * Type of Function * Number of people Attending Number of people under age 21 attending * If there are any people under 21, who are they? Total Number of Bottles of Wine Total Number of Bottles of Champagne Total Number of Bottles of Beer Total Number of Kegs Total Number of Pony Kegs Who is providing the alcohol? * Name of person providing the alcohol? * Who is the caterer (if known) Any other questions or comments?