Chelsea Recreation & Cultural Affairs

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

Apr 29, 2024
submission #148
Reservation Form

Contact Person

Name/Last Name ---
Phone ---
Email Address ---
School Clark Avenue Middle School

EVENT INFORMATION

Event/Activity Name ---
Leader's Name ---
Leader's Phone Number +15082943790
Brief Description of Event (please be as thorough as possible) ---
Total Estimated Number of Participants 100
School Clark Avenue Middle School
Space Needed ---
If you selected classroom(s) above, how many will you need? ---
Do you require equipment or setup? ---
Please specify what equipment you need/set-up staff computers & access to Qomo boards
Will food be served? Yes

Additional Questions - Food

Please explain what kind of food, how it will be stored, etc.. Food will be ordered from Michael G's and picked up immediately before the event. No need for kitchen.

First Preference For Event Date

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

First preference: Single Date

Date 2024-06-05
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) 7:00 - 7:40

Second Preference?

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

Second Choice Information

Days of the week ---
Dates 6/6/2024
Times 4:00 - 7:30
Location Clark Avenue
First Review by Recreation and Cultural Affairs

Decide which School should review this application:

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