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PLEASE NOTE! The person who fills out this form is the person who is responsible for agreeing to the University of Wisconsin-River Falls Alcohol Beverage Service policies and procedures.
Sponsoring Organization or Department
Sponsor Representative
Your Title
Your Address
Your Phone Number
The Event Sponsor is a Recognized Student Organization
Adviser Name
Adviser Phone
Adviser E-mail
Event Name
Event Date
Location
If "Other" Location
Estimated Attendance
Event Description
Food Arrangements
Comments (optional)
Alcohol Beverage Request
Start Serving (ex: 4pm or 4:00pm)
Stop Serving (ex: 8pm or 8:00pm)
Special Alcohol Requests
Who is the responsible person from your group or organization that will act as the supervisor during this event? The supervisor will oversee safe alcohol consumption.
Responsible Person's Name*
Responsible Person's Phone Number*
Identify Security Measures*
Other Security Measures
The Board of Regents has established the following guidelines regarding alcohol per UWS 18.06(13). The use or possession of alcohol beverages is prohibited on all University premises, except in faculty and staff housing and as permitted by the chief administrative officer, subject to the statutory age restrictions. The chief administrative officer may generally permit the use of possession of alcohol beverages by promulgating institutional regulations in consultation with appropriate staff and students, or in specific instances by written permission.
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University of Wisconsin-River Falls 410 S. 3rd Street, River Falls WI 54022 USA Campus Information 715-425-3911