WISCONSIN CLUB AMENDED SECURITY.PDF

SECTION 10
1. Has the applicant been convicted of a felony, or had a liquor license revoked within the last five (5) years?
†Yes †No ✔ (If yes, attach explanation.)
2. How many special event licenses have been issued to this location this year? _________________
(The number cannot exceed 12 events per year; exceptions under A.R.S. §4-203.02(D).)
3. Is the organization using the services of a promoter or other person to manage the event? †Yes †No ✔
(If yes, attach a copy of the agreement.)
4. List all people and organizations who will receive the proceeds. Account for 100% of the proceeds. The organization
applying must receive 25% of the gross revenues of the special event liquor sales. Attach an additional page if necessary.
Name _______________________________________________________________ Percentage: __________________________________
Address _____________________________________________________________________________________________________________
Street City State Zip
Name ________________________________________________________________ Percentage: _________________________________
Address _____________________________________________________________________________________________________________
Street City State Zip
5. Please read A.R.S. § 4-203.02 Special event license; rules and R19-1-205 Requirements for a Special Event License.
Note: ALL ALCOHOLIC BEVERAGE SALES MUST BE FOR CONSUMPTION AT THE EVENT SITE ONLY.
“NO ALCOHOLIC BEVERAGES SHALL LEAVE SPECIAL EVENT UNLESS THEY ARE IN AUCTION SEALED CONTAINERS OR THE SPECIAL
EVENT LICENSE IS STACKED WITH WINE /CRAFT DISTILLERY FESTIVAL LICENSE”
6. What type of security and control measures will you take to prevent violations of liquor laws at this event?
(List type and number of police/security personnel and type of fencing or control barriers, if applicable.)
_________________Number of Police _________________ Number of Security Personnel †Fencing ✔ †Barriers ✔
Explanation:
SECTION 11 Dates and Hours of Event. Days must be consecutive but may not exceed 10 consecutive days.
See A.R.S. § 4-244(15) and (17) for legal hours of service.
PLEASE FILL OUT A SEPARATE APPLICATION FOR EACH “NON-CONSECUTIVE” DAY
Event Start License End
Date Day of Week
Time AM/PM Time AM/PM
DAY 1:
DAY 2:
DAY 3: ! " #
DAY 4:
DAY 5:
DAY 6:
DAY 7:
DAY 8:
DAY 9:
DAY 10:
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Individuals requiring ADA accommodations call (602)542-9027.