Chelsea Recreation & Cultural Affairs

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

May 05, 2023
submission #85
Reservation Form

Contact Person

Name/Last Name ---
Phone ---
Email Address ---
School Browne Middle School

EVENT INFORMATION

Event/Activity Name ---
Brief Description of Event ---
School Building ---
Facility ---
Do you require special equipment or setup? ---
Please specify TABLE SET UP FOR THE WHOLE 8TH GRADE FACING THE PROJECTOR

Additional Questions

Will food be served? No

First Preference For Event Date

Is this event happening on one date or multiple dates? ---

First preference: Single Date - Time

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) 2:30PM

Second Choice - Single Date

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