*CPS INTERNAL USE ONLY - Browne, Wright & Clark Schools Facility Request
Mar 24, 2023
submission
#79
Reservation Form
Contact Person
| Name/Last Name | --- |
| Phone | --- |
| Cell Phone | --- |
| Email Address | --- |
| School | Clark Avenue Middle School |
EVENT INFORMATION
| Event/Activity Name | --- |
| Brief Description of Event | --- |
| School Building | --- |
| Facility | --- |
| If you selected classrooms, how many will be needed? | --- |
| Total Estimated Number of Participants | 100 |
| Do you require special equipment or setup? | --- |
| Please specify | Microphone, projector board and remote. |
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 | 2023-05-03 |
| 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) | 7:30-8pm |
Second Choice - Single Date
| If your first choice date is not available, do you have a second choice? | --- |