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

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	---
Total Estimated Number of Participants	Last year we have 100-150 in attendance.
Do you require special equipment or setup?	---
Please specify	If we could have a speaker set up and the scoreboard set up that would be great.

Additional Questions

Will food be served?

No

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)	---
Times needed (i.e. 3-4:30pm)	2:30-4:00

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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Second Preference: Multiple Dates

Dates (i.e. Every Sunday starting June 1 until September 1)	---
Times Needed (i.e. 3-4:30pm)	2:30-4:00
Facility (See link to park locations and descriptions above)	---