Licensing Department, City Of Chelsea, MA

Special Event Request 2022

Jul 14, 2022
submission #58
Application

CONTACT INFORMATION

Event/Activity Name ---
Facility (See link to park locations and descriptions above) ---
***Other Description Room 307
Event Date 7/14/2022
Applicants Name ---
Contact Person ---
Email Address ---
Cell Phone ---
Day Phone ---
Billing Address ---

EVENT INFORMATION

Name of Supervisor / Vendor on Site ---
Supervisor / Vendor Phone Number +16174664150
Name of Second Supervisor on Site ---
Second Supervisor Phone Number +16174664150
Total Estimated Number of Participants 60
Estimated Number of ADULT Participants 40
Estimated Number of YOUTH Participants 10