*CPS INTERNAL USE ONLY - Browne, Wright & Clark Schools Facility Request
Jan 09, 2024
submission
#124
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 | 7 |
| School | Browne Middle School |
| Space Needed | --- |
| Do you require equipment or setup? | --- |
| Will food be served? | Yes |
Additional Questions - Food
| Please explain what kind of food, how it will be stored, etc.. | mini sandwiches and water/juice |
First Preference For Event Date
| Is this event happening on one date or multiple dates? | --- |
First preference: Single Date
| Date | 2024-01-16 |
| 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) | 6:00pm-6:30pm |
Second Preference?
| If your first choice date is not available, do you have a second choice? | --- |