Application
CONTACT INFORMATION
| Event/Activity Name |
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| Facility (See link to park locations and descriptions above) |
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| ***Other Description |
Recovery Month Events
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| Event Date |
9/14/22 and 9/21/22 (rain date 9/28/22)
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| Applicants Name |
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| Contact Person |
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| Email Address |
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| Cell Phone |
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| Day Phone |
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| Billing Address |
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EVENT INFORMATION
| Name of Supervisor/Vendor on Site |
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| Supervisor / Vendor Phone Number |
+16175435877
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| Name of Second Supervisor on Site |
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| Second Supervisor Phone Number |
+16233413134
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| Total Estimated Number of Participants |
50
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| Estimated Number of ADULT Participants |
50
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| Estimated Number of YOUTH Participants |
0
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| Organization Type |
City or School Use, Non Profit - may be asked to provide State Tax # or Federal EIN#
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| Activity |
Community Use (please specify below)
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| Brief Description of Event |
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| Special Requirements |
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First Preference For Event Date
| Is this event happening on one date or multiple dates? |
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First preference: Two or More Dates - Times
| Dates (i.e. Every Sunday starting June 1 until September 1, from 10am-12pm) |
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Second Choice Interest: Two or More Dates
| If your first choice dates are not available, do you have a second choice? |
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Specialized Event
| Does your event fall under one of these categories? |
Yes
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Type of Event
| Select which event type your request is for |
Community Event
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Licensing Department and Inspectional Services Department
| Are any of the following part of your event? |
Food and beverages , Music, entertainment, or amplified sound on site, Machinery powered by gasoline, diesel, or electricity
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Food and Beverage/ Fire Department and Licensing
| Will food and beverages be: |
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| Please specify all food and beverages that will be provided |
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Music and Entertainment: One Day Entertainment License Requirement
| Please describe the type of music or entertainment to be provided: |
Both events: Recorded music on speakers
Overdose Vigil:
CHS Cantare Chorus
Cellist
Guitarist
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Machinery Detail
| Please describe the machinery that will be used on site, including power source (gas, diesel, electricity) |
gas grill
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Department of Public Works
| Will you require lighting? (Please call 617-466-4200 during business hours, and 617-828-7327 after hours).) |
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| Will you require use of restrooms, if available? |
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Requested Usage from City of Chelsea
| Tables |
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| Chairs |
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| Electricity |
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| Stage |
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First Review by Special Events Coordinator
Decide which Departments should review this application:
| Should Fire Department review? |
Yes, FD should review.
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| Should Police Department review? |
Yes, Police Department should review.
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| Should Licensing review? |
Yes, Licensing should review.
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| Should Inspectional Services review? |
Yes, Inspectional Services review.
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| Should Public Works review? |
Yes, Public Works review needed.
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| Should Traffic and Parking review ? |
No
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