*CPS INTERNAL USE - Browne, Wright & Clark Schools Facility Request
Dec 08, 2022
submission
#57
Reservation Form
Contact Person
| Name/Last Name | --- |
| Phone | --- |
| Email Address | --- |
| School | Clark Avenue Middle School |
EVENT INFORMATION
| Event/Activity Name | --- |
| Brief Description of Event | --- |
| School Building | --- |
| Facility | --- |
| Total Estimated Number of Participants | 60 |
| Do you require special equipment or setup? | --- |
| Please specify | If we can use the goals |
Additional Questions
| Will food be served? | No |
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? | --- |