Chelsea Recreation & Cultural Affairs

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

Feb 05, 2024
submission #134
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 +17815260619
Brief Description of Event (please be as thorough as possible) ---
Total Estimated Number of Participants 150
School Browne Middle School
Space Needed ---
Do you require equipment or setup? ---
Please specify what equipment you need/set-up CHAIRS
Will food be served? Yes

Additional Questions - Food

Please explain what kind of food, how it will be stored, etc.. WAITING ON CONFIRMATION

First Preference For Event Date

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

First preference: Single Date

Date 2024-03-01
Day of the Week Friday
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) 7-8

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? No, no Wright Principal review needed.
Should Clark Ave Principal review? No, no Clark Ave Principal review.