MySQL: ALTER TABLE if column not exists

Use PREPARE/EXECUTE and querying the schema. The host doesn't need to have permission to create or run procedures :

SET @dbname = DATABASE();
SET @tablename = "tableName";
SET @columnname = "colName";
SET @preparedStatement = (SELECT IF(
  (
    SELECT COUNT(*) FROM INFORMATION_SCHEMA.COLUMNS
    WHERE
      (table_name = @tablename)
      AND (table_schema = @dbname)
      AND (column_name = @columnname)
  ) > 0,
  "SELECT 1",
  CONCAT("ALTER TABLE ", @tablename, " ADD ", @columnname, " INT(11);")
));
PREPARE alterIfNotExists FROM @preparedStatement;
EXECUTE alterIfNotExists;
DEALLOCATE PREPARE alterIfNotExists;

Use the following in a stored procedure:

IF NOT EXISTS( SELECT NULL
            FROM INFORMATION_SCHEMA.COLUMNS
           WHERE table_name = 'tablename'
             AND table_schema = 'db_name'
             AND column_name = 'columnname')  THEN

  ALTER TABLE `TableName` ADD `ColumnName` int(1) NOT NULL default '0';

END IF;