*CPS INTERNAL USE ONLY - Browne, Wright & Clark Schools Facility Request
Mar 04, 2025
submission
#182
Reservation Form
Contact Person
| Name/Last Name | --- |
| Phone | --- |
| Cell Phone | --- |
| Email Address | --- |
| School | Clark Avenue Middle School |
EVENT INFORMATION
| Event/Activity Name | --- |
| Leader's Name | --- |
| Leader's Phone Number | +19783908957 |
| Brief Description of Event (please be as thorough as possible) | --- |
| Total Estimated Number of Participants | 150 |
| School | Clark Avenue Middle School |
| Space Needed | --- |
| Do you require equipment or setup? | --- |
| Will food be served? | No |
First Preference For Event Date
| Is this event happening on one date or multiple dates? | --- |
First preference: Single Date
| Date | 2025-03-17 |
| Day of the Week | Tuesday |
| 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) | 3:45 PM-4:15 PM |
Second Preference?
| If your first choice date is not available, do you have a second choice? | --- |