Student Group Application to Serve Alcohol

Student Group Application to Serve Alcohol

Please first review Muhlenberg College's Alcohol Policy.
I have read and understand the Muhlenberg College Alcohol Policy.
Applicant Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Name of Student Club or Organization hosting the event*
Who will be the designated point of contact on site for the event?*
Designated Point of Contact's Mobile Phone Number*
Please enter a valid phone number.
Muhlenberg College Email*
Account Number to be charged for service*
Club Advisor Name*

First NameLast Name
Club Advisor Email Address*
example@example.com
Name of Event*
Date of Event*

MonthDayYear
Date
25Live Confirmation Reference Number*
Location of Event*
Anticipated Number of Attendees*
Event Time*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Alcohol is requested to begin at*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes (ending no later than)

AM/PM Option
Invited Constituents (check all that apply)*

Faculty/StaffStudentsAlumni & GuestsCo-Sponsored OrganizationFamilyDonors & Guests
Source of alcohol*

College InventoryTailgate: BYOBOther
Type of alcohol requested (check all that apply)*

BeerWineMalt Beverage/Seltzers
Type of Event*

ReceptionDinnerTailgate EventPre-Performance/ IntermissionOther
By submission of this electronic document, I hereby certify that I am aware of the Muhlenberg College Alcohol Policy and the requirements with respect to the provision of alcohol at departmental and/or student club/organization events.

As the applicant for this event, I agree that the event hereby registered will be conducted in strict compliance with these policies and procedures.

I understand that the account number provided will be charged for the services rendered including housekeeping, bar service, beverages, security, banding, etc, as deemed necessary by the College.
Should be Empty: