Application
EVENT INFORMATION
| Event/Activity Name |
Movie Night
|
| 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) |
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|
| ***Other Description |
Box District Park
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| Event Date |
July 23d
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| Applicants Name |
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| Contact Person |
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| Cell Phone |
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| Email Address |
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| Day Phone |
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| Address |
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| Name of Supervisor/Vendor on Site |
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| Supervisor/Vendor Phone Number |
+16159395176
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| Name of Second Supervisor on Site |
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| Second Supervisor Phone Number |
+14134411964
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| Total Estimated Number of Participants |
25
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| Estimated Number of ADULT Participants |
10
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| Estimated Number of YOUTH Participants |
15
|
| Organization Type |
Chelsea Youth Organization - must have 51% Chelsea Residents, Chelsea Adult Organization - must have 80% Chelsea Residents, Other Youth Organization, Non Profit - may be asked to provide State Tax # or Federal EIN#
|
| Activity |
Community Use (please specify below)
|
| Brief Description of Event |
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| Special Requirements |
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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 |
2024-07-23
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| Total Time (ex. 2:00pm-6:00pm) |
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| Set-up Time (ex. 2:00pm-3:00pm) |
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| Total Event Time (ex. 3:00pm-5:30pm) |
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| Breakdown Time (ex. 5:30pm-6:00pm) |
9:30pm-9:50pm
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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? |
No
|
Licensing Department and Inspectional Services Department
| Are any of the following part of your event? |
Music, entertainment, or amplified sound on site, None of these will be part of my event.
|
Food and Beverage/ Fire Department and Licensing
| Will food and beverages be: |
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| Please specify all food and beverages that will be provided |
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| Food Trucks |
No/No
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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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Indemnification/hold harmless/cleanup
Indemnification/Hold harmless/cleanup
| The signatory shall be responsible for and shall indemnify and hold harmless the City of Chelsea from and against all damages, claims or demands that may, during the term of this license, arise by negligent or intentional acts of signatory or signatory's employees. |
I am responsible for any and all indemnity and hold harmless the City of Chelsea
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| If a permit is issued, I agree that my organization will leave the permitted area clean and orderly, and that all trash will be placed in trash receptacles. |
I agree to pick up and clean any trash caused by this event
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| I understand that I am completing a binding electronic signature when I submit this form constitutes a legal signature. |
Yes
|
| Up Load Insurance policy/agreement |
GreenRoots cc prev issued COI City of Chelsea 7 15 23 to 24 term.pdf
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First Review by Special Events Coordinator
Decide which Departments should review this application:
| Should Fire Department review? |
No RD review necessary.
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| Should Police Department review? |
No, no PD review needed.
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| Should Licensing review? |
No, no Licensing review needed.
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| Should Inspectional Services review? |
No, no IS review needed.
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| Should Public Works review? |
No, no PW review.
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| Should Traffic and Parking review ? |
No
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