Chelsea Recreation & Cultural Affairs

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

Mar 04, 2024
submission #141
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 clear the cafeteria
Will food be served? Yes

Additional Questions - Food

Please explain what kind of food, how it will be stored, etc.. Possibly pizza

First Preference For Event Date

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

First preference: Single Date

Date 2024-04-24
Day of the Week Wednesday
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) 6-7

Second Preference?

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

Second Choice Information

Days of the week ---
Dates 04/23/2024
Times 2:30-7pm
Location Cafeteria
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.