Chelsea Recreation & Cultural Affairs

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

Jul 23, 2024
submission #151
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 +16174664477
Brief Description of Event (please be as thorough as possible) ---
Total Estimated Number of Participants 80
School Clark Avenue Middle School
Space Needed ---
Do you require equipment or setup? ---
Please specify what equipment you need/set-up A/V (mic, screen to present, and wifi)
Will food be served? Yes

Additional Questions - Food

Please explain what kind of food, how it will be stored, etc.. light refreshments will be delivered before each meeting. We will need at least 2 long tables set up for this.

First Preference For Event Date

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

First preference: Two or More Dates

Dates ---
Times 3pm-5pm

First Preference: Seasonal

Dates ---
Days of the Week ---
Times ---

Second Preference?

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

Attachments

Please upload any attachments (proposed site plan) ---
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.