Chelsea Recreation & Cultural Affairs

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

Jan 02, 2023
submission #60
Reservation Form

Contact Person

Name/Last Name ---
Phone ---
Email Address ---
School Eugene Wright Middle School

EVENT INFORMATION

Event/Activity Name ---
Leader's Name ---
Leader's Phone Number +16179529971
Brief Description of Event ---
School Building ---
Facility ---
If you selected classrooms, how many will be needed? ---
Do you require special equipment or setup? ---

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) ---
Times needed (i.e. 3-4:30pm) 4pm-6:30

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? No, no Clark Ave Principal review.