Parks Alcohol Permit Application

2. <strong>Do not use this application until you have spoken to the facility manager and confirmed your rental date is available.</strong> <br><br>Alcohol may be served by private caterers at Dickerson Park Zoo, Lake Springfield Boathouse, Springfield Botanical Gardens and Davis House and Property.

   Do not use this application until you have spoken to the facility manager and confirmed your rental date is available.
   
   Alcohol may be served by private caterers at Dickerson Park Zoo, Lake Springfield Boathouse, Springfield Botanical Gardens and Davis House and Property.

4. Event Organizer Primary Contact

6. First Name*

7. Last Name*

9. Business or Nonprofit Name

11. Website (if applicable)

13. Address*

15. Address Line 2

17. City*

18. State*

19. Zip*

21. Phone*

22. Email*

24. Number of guests*

25. Type of Event*

    1. Wedding/Reception
    2. Corporate/Business
    3. Other

26. Please describe type of event*

28. Date of Event*
    Date of Event

29. Start Time*
    Start Time

30. End Time*
    End Time

32. Rented Facility:*

    1. Davis House
    2. Dickerson Park Zoo
    3. Lake Springfield Boathouse
    4. Springfield Botanical Gardens

36. Catering Company Contact Information

38. Catering Business Name*

40. Catering Primary Contact*

    First Name

41. Catering Primary Contact*

    Last Name

43. Catering Address*

45. City*

46. State*

47. Zip*

49. Catering Contact Phone Number*

50. Catering Email*

52. Springfield Business License #*

53. State of Missouri Liquor License #*

55. The Springfield-Greene County Park Board requires General Liability Insurance in the collective amount of $1 Million for all events and Liquor Liability Insurance in the collective amount of $1 Million for events when alcohol is served. Individuals that do not have such insurance may apply for Event Insurance through the City of Springfield TULIP program. To apply, please follow the link below.

    https://www.springfieldmo.gov/3448/Insuring-Your-Event

57. Acknowledgements*

    1. I understand that this application requires a $250 fee.
    2. I understand I must provide general liability insurance, liquor liability insurance, each in the amount of $1 million for my event.
    3. I understand I must provide security in the amount of $120/4 hours per deputy, per 75 people, booked through the Park Board.
    4. I understand if I cancel my event 30 or more days before the event date, the Park Board will provide a 50% refund of all fees paid.
    5. I understand if I cancel my event within 30 days of the event date, no refunds will be made.
    6. I understand that alcohol may only be served by my caterer and that no members of my party may serve or consume their own alcohol.
    7. I understand this application is a request not a confirmed booking. A facility manager will contact me when my application is approved or denied.

Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field