Special Event Request 2024

EVENT INFORMATION

Event/Activity Name	Tobin Bridge Takeover
Is this a 400th Event?	No
Is this event approved by the 400th committee?	No

CONTACT INFORMATION

Facility (See link to park locations and descriptions above)	---
***Other Description	Jordan Boys & Girls Club
Event Date	09/28/2024
Applicants Name	---
Contact Person	---
Cell Phone	---
Email Address	---
Day Phone	---
Address	---
Name of Supervisor/Vendor on Site	---
Supervisor/Vendor Phone Number	+17818886673
Name of Second Supervisor on Site	---
Second Supervisor Phone Number	+16173190056
Total Estimated Number of Participants	80
Estimated Number of ADULT Participants	60
Estimated Number of YOUTH Participants	20
Organization Type	Other Youth Organization
Activity	Private Party (please specify below)
Brief Description of Event	---

First Preference For Event Date

Is this event happening on one date or multiple dates?

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First preference: Single Date - Time

Date	2024-09-28
Total Time (ex. 2:00pm-6:00pm)	---
Set-up Time (ex. 2:00pm-3:00pm)	---
Total Event Time (ex. 3:00pm-5:30pm)	---
Breakdown Time (ex. 5:30pm-6:00pm)	6:00pm-7:00pm

Second Choice - Single Date

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

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Specialized Event

Does your event fall under one of these categories?

Yes

Type of Event

Select which event type your request is for

Community Event

Licensing Department and Inspectional Services Department

Are any of the following part of your event?

More than 50 people in attendance, Food and beverages , Admission fee for participants, Event will generate revenue/ make money (e.g. sponsorships, vendor fees), Items will be for sale at event, Music, entertainment, or amplified sound on site

Food and Beverage/ Fire Department and Licensing

Will food and beverages be:	---
Please specify all food and beverages that will be provided	---

Items for Sale - Detail

Please describe the items that will be available for sale at the event	Our hope is to receive pizzas from Khelsea's Pizza or Prattville Pizza to distribute at this event. We also hope that Bella Isla will be selling options from their menu at the event. Undetermined as of yet.
How will the items be offered for sale? (check all that apply)	Vendors will be selling items

Music and Entertainment: One Day Entertainment License Requirement

Please describe the type of music or entertainment to be provided:

This is an event that will have DJ's playing throughout the event taking place indoors in the gymnasium at the Jordan Boys and Girls Club. There will be live dance performances from youth Hip Hop Teams through the Northshore and Boston Area.

Department of Public Works

Will you require electricity? (Please call 617-466-4211 (during business hours) and 617-697-3913 (after hours).)

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Requested Usage from City of Chelsea

Tables	---
Chairs	---
Electricity	---
Stage	---