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 |
+16174665130
|
| Brief Description of Event (please be as thorough as possible) |
---
|
| Total Estimated Number of Participants |
400
|
| School |
Clark Avenue Middle School
|
| Space Needed |
---
|
| Do you require equipment or setup? |
---
|
| Please specify what equipment you need/set-up |
Microphone, podium, chairs
|
| Will food be served? |
Yes
|
Additional Questions - Food
| Please explain what kind of food, how it will be stored, etc.. |
Light snacks and refreshments will be provided
|
First Preference For Event Date
| Is this event happening on one date or multiple dates? |
---
|
First preference: Single Date
| Date |
2025-06-16
|
| Day of the Week |
Monday
|
| 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) |
6:00 - 6:30
|
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.
|
