Please complete the following form according to the these guidelines. After generating the form, please print the resulting document, sign and initial where specified, and submit via email to lclayiktez@ucdavis.edu, or fax to (530) 747-3853, or deliver to Conference and Event Services, located at 116 A Street, Davis.

You must have Adobe Reader 7 to open the permit.
  • All fields are required unless otherwise noted.
  • A first and last name must be provided for all fields that request the name of an individual or individuals. Failure to provide a complete name will result in the application not being considered.
  • The alcohol permit form must be signed and turned in to CES no later than 10 working days before the event.
  • Calculations involving wine are based on 750mL bottles. Please call if serving larger size bottles (e.g. magnum).
Sponsor Information
Name of Sponsoring Group:
Name of Chairperson of organzation/event:
Chairperson's Title:
Chairperson's Address:
Chairperson's Phone:
Chairperson's Fax:
Chairperson's Email:
Contact Information
Same as Chairperson's Info:
Contact person if there are any questions:
Contact's Address:
Contact's Phone:
Contact's Fax:
Contact's Email:
Event Information
Title of Event:
Reservation #:   (optional)
Coordinator:
Date of Function:   (mm/dd/yyyy format)
Time of Service of Alcohol:
From
:
To
:
Location: Indoor     Outdoor     Both
Building:

Room:
If the location of your event is not listed above, please enter it here:

PLEASE NOTE: Food and alcohol service at the ARC or Rec Pool Lodge
may only be provided by Registered Caterers.
 
Type of Function:
Purpose of Function:
Who will attend?
Number Attending:
Number under 21:
If any under 21, who are they?
Specifics on Alcohol Service
Setup:
Total Number of:
(Quantities required if not using a Cash Bar)
Servings per person per hour must be less than 1

Bottles of Wine:
Bottles of Champagne:
Bottles of Beer:
Kegs:
Pony Kegs:
Who is providing the alcohol?
Name of the person providing the alcohol:
-OR-
Who is serving the alcohol?
Name(s) of the person(s) serving the alcohol:
-OR-

Note: Servers must be over 21
Type of food provided
If other, please specify:
Type of non-alcoholic beverages provided Bottled Water
Soft Drinks
Coffee and Tea
Other please specify:
Who is providing the food and beverages?
Other:
Is the event a potluck? Yes No
Is the event open to the public? Yes No
Are you charging attendees to attend this event? Yes No
Are you charging attendees to pay for any part of the event? Yes No
Is this event part of a larger paid event? Yes No
 
Click this button to check the form for problems:
 
Form must be signed and initialed in the appropriate places or it will not be considered.
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You may want to press the 'Validate Form' button to check for errors.