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Alcohol Request Form: Mission Bay

I. Your Information:


Name:


Sponsoring org./dept.:

Mailing address:

Daytime phone:

E-mail:

UC status:


II. Your Event:


Please specifiy exact location:

Event title:


Please provide
short description of event:


Event date:

Day of week:


Time start:

Time end:

Est. # of people attending:


III. Beverage Quantity and Catering Information:

(Please note:There may be department requirements regarding the use of red wine. Check with the site scheduling coordinator for specific on-site regulations. Requests are limited to beer, wine and champagne only.)

Beer

# of bottles or cans:


Wine/Champagne

# of bottles:


If outside caterer is contracted, please complete the following:

Business name:

Contact person:

Phone number:

Terms and Conditions:

As the person in charge of this event, I understand the following conditions apply:

1. A representative of the hosting organization/department, who is responsible for the event, will be present at all times during the function.

2. Alcoholic beverages will not be consumed by individuals under 21 years of age. Non-alcoholic beverages will be available in sufficient quantities.

3. Although alcoholic beverages may be given away, they may not be sold at this event.

4. Any special need for security will be determined by the Site Scheduling Coordinator and/or the Director of the Office of Student Life in cooperation with UC Police Department as necessary.

5. Publicity for the event may not advertise the availability of alcoholic beverages.

6. The event will be confined to members of the campus community and their guests. The term "guest" does not imply the general public.

I have read and agreed to the terms and conditions.