Chelsea Recreation & Cultural Affairs

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

Oct 12, 2022
submission #49
Reservation Form

Contact Person

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

EVENT INFORMATION

Event/Activity Name ---
Leader's Name ---
Brief Description of Event ---
School Building ---
Facility ---
Do you require special equipment or setup? ---
Please specify table set up near projector screen

Additional Questions

Will food be served? Yes

First Preference For Event Date

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

First preference: Single Date - Time

Date 2022-10-18
Total Event Time (i.e. 2-6pm) ---

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.