Licensing Department, City Of Chelsea, MA

Special Event Request 2024

Apr 26, 2024
submission #238
Application

EVENT INFORMATION

Event/Activity Name United For Our Youth
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 La Colaborativa Survival Center
Event Date 04/29/24
Applicants Name ---
Contact Person ---
Cell Phone ---
Email Address ---
Day Phone ---
Address ---
Name of Supervisor/Vendor on Site ---
Supervisor/Vendor Phone Number +17816545617
Name of Second Supervisor on Site ---
Second Supervisor Phone Number +18574984197
Total Estimated Number of Participants 70
Estimated Number of ADULT Participants 30
Estimated Number of YOUTH Participants 40
Organization Type Non Profit - may be asked to provide State Tax # or Federal EIN#
Activity Private Party (please specify below)
Brief Description of Event ---
Special Requirements ---

First Preference For Event Date

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

First preference: Single Date - Time

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) 7pm-8pm

Second Choice - Single Date

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

Specialized Event

Does your event fall under one of these categories? No

Licensing Department and Inspectional Services Department

Are any of the following part of your event? More than 50 people in attendance, Food and beverages

Food and Beverage/ Fire Department and Licensing

Will food and beverages be: ---
Please specify all food and beverages that will be provided ---
Food Trucks No/No

Department of Public Works

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

Additional Information

Please list any additional Special Requirements ---