Covid-19

Bar Registration Form

Fill in all of the spaces below

Applicant Name: *

Bar/Restaurant Name: *

TABC No. *

Permanent Street Address of Bar: *

City: *

State: *

Zip: *

Daytime Phone: *

Evening Phone: *

Email Address *

Owner First Name *

Owner Last Name *

Owner Email Address *

Business Owner Address *

Business Owner City: *

Business Owner State: *

Business Owner Zip: *

Managers Name: *

Managers Phone Number: *

Will location have food? *

Yes

Have you read the most recent Open Texas order for Bars and Similar Establishments? *

Yes

Location will enforce the Open Texas order for Bars and Similar Establishments? *

Yes

Location will hire enforcement for the Open Texas order for Bars and Similar Establishments? *

Yes

Todays Date * +

Applicants Signature *

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