Online Form - Application to Consume Liquor

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Contact Information

All applicants must be over 18 years of age

Last Name*

First Name*

Organisation (if applicable)

Postal Address*

Phone Number*

Email Address*

Event Details

Booking Date*

Event Start Time*

Event Finish Time*

Event Location

Brief explanation of activity to be undertaken in venue*

Will there be a charge to attend the event?*

Yes
No

Number of adults attending?*

Number of juveniles attending?

Is this event public or private?*

Public
Private

Liquor Management

Will Busselton Police be notified of the event?

Yes
No

How will alcohol be provided?*

Sale
Supply
BYO

Time first drink will be served?*

Time last drink will be served? (Last drink should be served half an hour before the end of event)*

How have guests been invited?

Invitation
Social Media
Ticket Sales

How will intoxicated persons be managed?*

How will juveniles be recognised and managed?*

How will you control access to liquor at the event?*

Additional Information

I understand that under the Requirements of the Liquor Licensing Act 1988 Section 119(1), it is an offence to consume liquor on Council premises without the consent of the Council. I understand that hirers are responsible for contacting the Department of Racing, Gaming & Liquor to ascertain which liquor licence will need to be obtained if required.*

Yes

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Online Form - Application to Consume Liquor

Save Your Progress

Contact Information

Event Details

Liquor Management

City of Busselton

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