Chelsea Recreation & Cultural Affairs

*CPS INTERNAL USE - Browne, Wright & Clark Schools Facility Request

Apr 11, 2022
submission #30
Reservation Form

Contact Person

Name/Last Name ---
Phone ---
Email Address ---
School Browne Middle School

EVENT INFORMATION

Event/Activity Name ---
Leader's Name ---
Leader's Phone Number +16174665100
Brief Description of Event ---
School Building ---
Facility ---
Do you require special equipment or setup? ---
Please specify Custodial staff sets up shell, audience chairs

Additional Questions

Will food be served? No

First Preference For Event Date

Is this event happening on one date or multiple dates? ---

First preference: Single Date - Time

Date 2022-05-25
Total Event Time (i.e. 2-6pm) ---
Set-up Time (i.e.2-3pm) ---
Total Event Time (i.e. 3-5:30pm) ---
Breakdown Time (i.e. 5:30-6pm) 7PM-8PM

Second Choice - Single Date

If your first choice date is not available, do you have a second choice? ---
First Review by Recreation and Cultural Affairs

Decide which School should review this application:

Should Browne Principal review? Yes, Browne Principal should review.
Should Wright Principal review? No, no Wright Principal review needed.
Should Clark Ave Principal review? No, no Clark Ave Principal review.