Chelsea Recreation & Cultural Affairs

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

Aug 02, 2023
submission #102
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 (please select all that apply) ---
Total Estimated Number of Participants 40
Do you require special equipment or setup? ---

Additional Questions

Will food be served? No

First Preference For Event Date

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

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) see schedule above please let me know of district meetings ASAP incase I need to move games

Second Choice Interest: Two or More Dates

If your first choice dates are not available, do you have a second choice? ---
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? No, no Wright Principal review needed.
Should Clark Ave Principal review? Yes, Clark Ave Principal review needed.