Chelsea Recreation & Cultural Affairs

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

Jan 12, 2023
submission #64
Reservation Form

Contact Person

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

EVENT INFORMATION

Event/Activity Name ---
Leader's Name ---
Brief Description of Event ---
School Building ---
Facility ---
If you selected classrooms, how many will be needed? ---
Total Estimated Number of Participants 100-150
Do you require special equipment or setup? ---
Please specify We would need to connect to the projector system for the music and we need to clear away some of the tables for the dance floor. We would like to keep some tables to have other activities like games for people who don't want to dance.

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 2023-02-10
Total Time Needed (i.e. 2-6pm) ---
Set-up Time (i.e.2-3pm) ---
Event Time (i.e. 3-5:30pm) ---
Breakdown Time (i.e. 5:30-6pm) 30 minutes (5:30-6:00)

Second Choice - Single Date

If your first choice date is not available, do you have a second choice? ---

Second Preference: One Date

Date ---
Total Time Needed (i.e. 2-6pm) ---
Set-up Time (i.e. 2-3pm) ---
Event Time (i.e. 3-5:30pm) ---
Breakdown Time (i.e. 5:30-6pm) ---
Space Needed ---
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? Yes, Wright Principal should review.
Should Clark Ave Principal review? No, no Clark Ave Principal review.