Special Event Request 2024

EVENT INFORMATION

Event/Activity Name	La Colaborativa Back to School Health Fair
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	9/14/2024
Applicants Name	---
Contact Person	---
Cell Phone	---
Email Address	---
Day Phone	---
Address	---
Name of Supervisor/Vendor on Site	---
Supervisor/Vendor Phone Number	+16173200118
Name of Second Supervisor on Site	---
Second Supervisor Phone Number	+16178896080
Total Estimated Number of Participants	250
Estimated Number of ADULT Participants	100
Estimated Number of YOUTH Participants	150
Organization Type	Non Profit - may be asked to provide State Tax # or Federal EIN#
Activity	Community Use (please specify below)
Brief Description of Event	---
Special Requirements	---

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	2024-09-14
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)	5:00pm-6:00pm

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?

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 , Generator

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

Music and Entertainment: One Day Entertainment License Requirement

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

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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