This permit will be submitted to Modesto Police Department by the MJC Foundation Office.
An MJC representative must fill out this form. If you are requesting alcohol for
your event, see the instructions below for the sections of this permit that you will
fill out and then send to Sandy Marks. Please do not submit to MPD.
Applicant Information Section
NAME OF PERSON IN CHARGE OF EVENT
This is the person who is the contact point for the event and will be present at the
event for its entire duration.
ADDRESS
This can be the college address or the “person in charge’s” home address.
HM PH/BUS PH
This number should be one that will be available during the event.
DRIVERS LICENSE #
The “person in charge” must provide their driver’s license information.
SIGNATURE
This is the signature of the “person in charge.”
Event Information Section
LOCATION OF PERMITTED ACTIVITY
Where you are holding your event (alcohol permits do not supersede space reservations
with Events-Facilities).
DATE
The scheduled (and verified with Events-Facilities) date of your event.
DAY
What day of the week. START TIME: Time that the event starts (not including set-up
time) am/pm END TIME: Time the event ends (not including clean-up or tear down)
am/pm
LIVE ENTERTAINMENT
There are heck boxes for yes or no to live entertainment.
TYPE
(Band/Singer/DJ, etc.) : Indicate the type of entertainment you will be providing.
NAME OF ENTERTAINMENT
The name of the band, DJ, etc.
EXPECTED ATTENDANCE
Indicate the number of anticipated guests (this question is critical as it determines
the required security for an event. The ration is one officer for every 100 guests).
AGE GROUP EXPECTED
The age ranges of your anticipated guests (this is also critical as if you are having
anyone under 21, you will need to provide some type of ID checking and identification
for those ID’d over 21 i.e. wristbands, etc.)
TYPE OF DRINKING CONTAINERS
Identify what you are using to serve the alcohol, i.e. plastic cup, wine glasses,
etc.
ACTUAL LOCATION OF BEVERAGE SERVICE ON PROPERTY: Where will you serve the alcohol,
i.e. Behind a bar, at the tables, etc.
TYPE OF BEVERAGE BEING SERVED
(wine/beer/etc.) What alcohol will you have (YCCD alcohol policy only allows for beer
or wine to be served at an on-campus event).
If you have questions, email Sandy Marks in the MJC Foundation or 209-575-6619.
