Chelsea Recreation & Cultural Affairs

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

Apr 10, 2025
submission #201
Reservation Form

Contact Person

Name/Last Name ---
Phone ---
Email Address ---
School Browne Middle School

EVENT INFORMATION

Event/Activity Name ---
Leader's Name ---
Leader's Phone Number +18572338006
Brief Description of Event (please be as thorough as possible) ---
Total Estimated Number of Participants 10
School Eugene Wright Middle School, Browne 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.. We will have Panera catering. Anything leftover will be taken home.

First Preference For Event Date

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

First preference: Single Date

Date 2025-05-13
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) 6.30-7

Second Preference?

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

Second Choice Information

Days of the week ---
Dates 5/20/2025
Times 4-7 pm
Location Williams Complex Cafeteria
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? No, no Clark Ave Principal review.