Application
EVENT INFORMATION
Event/Activity Name |
Santa on a Fire Truck and Winterfest
|
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 |
December 7, 2024
|
Applicants Name |
---
|
Contact Person |
---
|
Cell Phone |
---
|
Email Address |
---
|
Day Phone |
---
|
Address |
---
|
Name of Supervisor/Vendor on Site |
---
|
Supervisor/Vendor Phone Number |
+16173190056
|
Name of Second Supervisor on Site |
---
|
Second Supervisor Phone Number |
+16172856053
|
Total Estimated Number of Participants |
100
|
Estimated Number of ADULT Participants |
50
|
Estimated Number of YOUTH Participants |
50
|
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? |
---
|
First preference: Single Date - Time
Date |
2024-12-07
|
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) |
7:00pm
|
Second Choice - Single Date
If your first choice date is not available, do you have a second choice? |
---
|
Specialized Event
Does your event fall under one of these categories? |
Yes
|
Type of Event
Select which event type your request is for |
Community Event
|
Licensing Department and Inspectional Services Department
Are any of the following part of your event? |
Items will be for sale at event, Music, entertainment, or amplified sound on site, Stages or other temporary structures, 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 |
Yes/Si, need to apply for a food truck application
|
Items for Sale - Detail
Please describe the items that will be available for sale at the event |
tacos, cupcakes
|
How will the items be offered for sale? (check all that apply) |
Vendors will be selling items
|
Music and Entertainment: One Day Entertainment License Requirement
Please describe the type of music or entertainment to be provided: |
DJ and choir
|
Department of Public Works
Will you require electricity? (Please call 617-466-4211 (during business hours) and 617-697-3913 (after hours).) |
---
|
Attachments
Please upload any attachments (proposed site plan) |
---
|
Additional Information
Please list any additional Special Requirements |
---
|
Requested Usage from City of Chelsea
Tables |
---
|
Chairs |
---
|
Electricity |
---
|
Stage |
---
|
Equipment
How many tables are needed? |
10
|
How many chairs are needed? |
20
|
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
|
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
|
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 |
|
First Review by Special Events Coordinator
Decide which Departments should review this application:
Should Fire Department review? |
No RD review necessary.
|
Should Police Department review? |
Yes, Police Department should review.
|
Should Licensing review? |
No, no Licensing review needed.
|
Should Inspectional Services review? |
No, no IS review needed.
|
Should Public Works review? |
No, no PW review.
|
Should Traffic and Parking review ? |
No
|