Reservation Form
Contact Person
| Name/Last Name |
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| Phone |
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| Email Address |
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| School |
Clark Avenue Middle School
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EVENT INFORMATION
| Event/Activity Name |
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| Leader's Name |
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| Leader's Phone Number |
+16174665097
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| Brief Description of Event (please be as thorough as possible) |
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| Total Estimated Number of Participants |
45
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| School |
Clark Avenue Middle School
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| Space Needed |
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| Do you require equipment or setup? |
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| Please specify what equipment you need/set-up |
Tech set up, microphone
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| Will food be served? |
Yes
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Additional Questions - Food
| Please explain what kind of food, how it will be stored, etc.. |
Food will be served at this event; likely a local restaurant from Chelsea. One of our staff members will pick up the food, and bring it to the gym. We'll have tables dedicated to getting food.
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First Preference For Event Date
| Is this event happening on one date or multiple dates? |
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First preference: Single Date
| Date |
2025-05-28
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| Day of the Week |
Wednesday
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| Total Time Needed (i.e. 2-6pm) |
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| Set-up Time (i.e.2-3pm) |
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| Event Time (i.e. 3-5:30pm) |
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| Breakdown Time (i.e. 5:30-6pm) |
5:30pm-6pm
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Second Preference?
| If your first choice date is not available, do you have a second choice? |
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First Review by Recreation and Cultural Affairs
Decide which School should review this application:
| Should Browne Principal review? |
No Browne Principal review necessary.
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| Should Wright Principal review? |
No, no Wright Principal review needed.
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| Should Clark Ave Principal review? |
Yes, Clark Ave Principal review needed.
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