Athletic Field Use Request 2023

CONTACT INFORMATION

Organization Name	Chelsea Devils Semi Pro Football Team
Name of Activity / Event	---
Location (See link to park locations and descriptions above)	---
Other (Write in N/A if not applicable) :	Chelsea Football Field
Applicant Name/Contact Person	---
Email Address	---
Cell Phone	---

EVENT INFORMATION

Organization Type	---
Activity	---
Brief Description of Activity	Semi pro football team
Primary Participants?	Adults
Sport (note: please fill out a separate application for each event)	Football
Please note any special requirements here	East coast football league

First preference for event date

Is this event happening on one date or multiple dates?

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First preference: Two or more dates

Dates	---
Days of the week	Saturday
Times	6pm

Second Preference?

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

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Additional Questions

1. Will the event generate admission fee or revenue?	---
1a. If yes, please specify below (Write in N/A if not applicable):	---
2. Will amplification be utilized?	---
3. Will you provide any music or entertainment? If so, apply here: https://go.citygro.ws/the-department-of-licensing-permitting-and-consumer-affairs-chelsea-ma/sample-amusement-entertainment-license-7df35bdf-d54b-45e4-903d-990e2e5694f	---
4. Will there be any use of machinary powered by gasoline, diesel or electricity?	---
4a. If yes, please specify the usage (Write in N/A if not applicable):	---
5. Will food or beverage be provided?	---
5b. If food or beverage provided, will it be:	---
6. Will anything be sold at the event?	---
6a. If yes, specify (Write in N/A if not applicable)	---
7. Will you require lighting or access to electrical outlets?	---
8. Will you require use of restrooms, if available?	---
9. Please list any additional Special Requirements	---

Indemnification/Hold Harmless

Name of Director/President/Group Leader:	---
Date	2023-11-13
I understand that I am completing a binding electronic signature when I submit this form constitutes a legal signature.	Yes

Policy Acknowledgement/Acuse de recibo

Name of Director/President/Group Leader:	Zeke Santiago
Date	2023-11-13
I understand that I am completing a binding electronic signature when I submit this form constitutes a legal signature.	Yes