Special Event Request 2023

CONTACT INFORMATION

Event/Activity Name	---
Facility (See link to park locations and descriptions above)	---
***Other Description	295 eastern ave ,Chelsea ma
Event Date	July 22nd,2023
Applicants Name	---
Contact Person	---
Email Address	---
Cell Phone	---
Address	---

EVENT INFORMATION

Name of Supervisor/Vendor on Site	---
Supervisor/Vendor Phone Number	+17814179804
Name of Second Supervisor on Site	---
Second Supervisor Phone Number	+18577071367
Total Estimated Number of Participants	30
Estimated Number of ADULT Participants	20
Estimated Number of YOUTH Participants	10
Organization Type	Chelsea Youth Organization - must have 51% Chelsea Residents, Other Youth Organization, Other Adult Organization
Activity	Other (please specify below)
Brief Description of Event	---

First Preference For Event Date

Is this event happening on one date or multiple dates?

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First preference: Single Date - Time

Date	2023-07-15
Total Time (ex. 2:00pm-6:00pm)	---
Set-up Time (ex. 2:00pm-3:00pm)	---
Total Event Time (ex. 3:00pm-5:30pm)	---

Second Choice - Single Date

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

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Second Preference: One Date

Date	---
Total Time (ex. 2:00pm-6:00pm	---
Set-up Time (ex. 2:00pm-3:00pm)	---
Total Event Time (ex. 3:00pm-5:30pm)	---
Facility (please see link above for park locations and descriptions)	---

Specialized Event

Does your event fall under one of these categories?

No

Licensing Department and Inspectional Services Department

Are any of the following part of your event?

More than 50 people in attendance, Food and beverages , Music, entertainment, or amplified sound on site

Food and Beverage/ Fire Department and Licensing

Will food and beverages be:	---
Please specify all food and beverages that will be provided	---
Food Trucks	Yes/Si, need to apply for a food truck application

Music and Entertainment: One Day Entertainment License Requirement

Please describe the type of music or entertainment to be provided:

Portable speakers, music, radios

Department of Public Works

Will you require electricity? (Please call 617-466-4200 during business hours, and 617-470-2747 after hours).)

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Additional Information

Please list any additional Special Requirements

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