Alcohol Waiver Form

Alcohol Waiver Form Doheny State Beach

I, as the undersigned group leader, hereby apply for a waiver to the alcohol prohibition at Doheny State Beach. Beer and Wine only. No alcohol involved games or activities.

Waivers are granted, if requested in writing, to groups who have reserved group picnic sites A, B and #1 through #4. The fee for this waiver is $425 for site A and $325 for site B and $175.00 for sites #1 through #4.

The following limitations are in effect after a waiver has been granted.

1. The sale of alcohol is not permitted.

2. Only those over the age of twenty-one (21) may consume alcohol.

3. The possession and/or consumption of alcohol is not allowed outside of your reserved picnic area. The boundary is determined by the paved area encompassing sites A and B and by the concrete slab at sites #1 through #4.

4. If the above provisions (#1, #2, #3) need to be enforced by a Ranger, the picnic group is liable for the cost of the Ranger’s overtime rate of time and one-half under authority of Title 14 CCR 4301 (j).

My signature verifies that I have read and agree to all of the waiver conditions listed above. I realize that failure to adhere to these limitations may lead to the early termination of my group’s visit to Doheny State Beach.

______Signature Title Date

Group Name:______

Date of Picnic:______

Group Area #: (Areas A,B and 1-4 only) ______

Size of Group:______

Fee: $______(Make check payable to: State of California) Receipt# ______

Return this waiver form and fee to: Doheny State Beach Attn: Picnic Coordinator 25300 Dana Point Harbor Drive Dana Point, CA 92629

For Park Use Only

Approved by:______Picnic and Special Events Coordinator ______

Rev. 1/28/13 Signature Title Date

Rev. 1/28/13