Chelsea Recreation & Cultural Affairs

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

Oct 20, 2023
submission #110
Reservation Form

Contact Person

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

EVENT INFORMATION

Event/Activity Name ---
Leader's Name ---
Leader's Phone Number +19782100246
Brief Description of Event (please be as thorough as possible) ---
Total Estimated Number of Participants 10
School Eugene Wright Middle School, Browne Middle School
Space Needed ---
Do you require equipment or setup? ---
Please specify what equipment you need/set-up Cafeteria tables left down please
Will food be served? Yes

Additional Questions - Food

Please explain what kind of food, how it will be stored, etc.. sandwiches will be delivered and do not need to be stored

First Preference For Event Date

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

First preference: Single Date

Date 2023-11-14
Day of the Week Tuesday
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) 6:30-7:00pm

Second Preference?

If your first choice date is 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? Yes, Browne Principal should review.
Should Wright Principal review? Yes, Wright Principal should review.
Should Clark Ave Principal review? No, no Clark Ave Principal review.