Chelsea Recreation & Cultural Affairs

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

Aug 09, 2022
submission #43
Reservation Form

Contact Person

Name/Last Name ---
Phone ---
Email Address ---
School Clark Avenue Middle School

EVENT INFORMATION

Event/Activity Name ---
Leader's Name ---
Brief Description of Event ---
School Building ---
Facility ---
Total Estimated Number of Participants 60
Do you require special equipment or setup? ---
Please specify Will need wifi, microphone, powerpoint presentation/screen set up

Additional Questions

Will food be served? Yes

First Preference For Event Date

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

First preference: Two or More Dates - Times

Dates (i.e. Every Sunday starting June 1 until September 1, from 10am-12pm) ---

Second Choice Interest: Two or More Dates

If your first choice dates are 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? No Browne Principal review necessary.
Should Wright Principal review? No, no Wright Principal review needed.
Should Clark Ave Principal review? Yes, Clark Ave Principal review needed.