Chelsea Recreation & Cultural Affairs

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

Dec 13, 2024
submission #173
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 +16174665047
Brief Description of Event (please be as thorough as possible) ---
Total Estimated Number of Participants 200
School Clark Avenue Middle School
Space Needed ---
Do you require equipment or setup? ---
Will food be served? Yes

Additional Questions - Food

Please explain what kind of food, how it will be stored, etc.. Dinner and drinks will need use of refrigerator

First Preference For Event Date

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

First preference: Single Date

Date 2025-02-13
Day of the Week Thursday
Total Time Needed (i.e. 2-6pm) ---
Set-up Time (i.e.2-3pm) ---
Event Time (i.e. 3-5:30pm) ---
Breakdown Time (i.e. 5:30-6pm) 7-7:30pm

Second Preference?

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