Special Event Request 2024

EVENT INFORMATION

Event/Activity Name	1
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)	---
Event Date	1
Applicants Name	---
Contact Person	---
Cell Phone	---
Email Address	---
Day Phone	---
Address	---
Name of Supervisor/Vendor on Site	---
Supervisor/Vendor Phone Number	+16174664203
Name of Second Supervisor on Site	---
Second Supervisor Phone Number	+16174664203
Total Estimated Number of Participants	1
Estimated Number of ADULT Participants	1
Estimated Number of YOUTH Participants	1
Organization Type	City or School Use
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?

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First preference: Single Date - Time

Date	2024-09-27
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)	1

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?

None of these will be part of my event.

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).)

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Attachments

Please upload any attachments (proposed site plan)

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