Special Event Request 2025

EVENT INFORMATION

Event/Activity Name

Climate Fun Day!

CONTACT INFORMATION

Facility (See link to park locations and descriptions above)	---
***Other Description	Quigley Park
Event Date	June 21st
Applicants Name	---
Contact Person	---
Cell Phone	---
Email Address	---
Day Phone	---
Address	---
Name of Supervisor/Vendor on Site	---
Supervisor/Vendor Phone Number	+16097053337
Name of Second Supervisor on Site	---
Second Supervisor Phone Number	+17873878696
Total Estimated Number of Participants	50
Estimated Number of ADULT Participants	25
Estimated Number of YOUTH Participants	25
Organization Type	Non Profit - may be asked to provide State Tax # or Federal EIN#
Activity	Community Use (please specify below)
Brief Description of Event	---
Special Requirements	---

First Preference For Event Date

Is this event happening on one date or multiple dates?

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First preference: Single Date - Time

Date	2025-06-21
Total Time (ex. 2:00pm-6:00pm)	---
Set-up Time (ex. 2:00pm-3:00pm)	---
Total Event Time (ex. 3:00pm-5:30pm)	---
Breakdown Time (ex. 5:30pm-6:00pm)	2:30-3:30pm

Second Choice - Single Date

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

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Specialized Event

Does your event fall under one of these categories?

Yes

Type of Event

Select which event type your request is for

Community Event

Licensing Department and Inspectional Services Department

Are any of the following part of your event?

Food and beverages , Music, entertainment, or amplified sound on site, None of these will be part of my event.

Food and Beverage/ Fire Department and Licensing

Will food and beverages be:	---
Please specify all food and beverages that will be provided	---
Food Trucks	No/No

Music and Entertainment: One Day Entertainment License Requirement

Please describe the type of music or entertainment to be provided:

Just a speaker playing music from a phone.

Department of Public Works

Will you require electricity? (Please call 617-466-4211 (during business hours) and 617-697-3913 (after hours).)

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Additional Information

Please list any additional Special Requirements

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Requested Usage from City of Chelsea

Tables	---
Chairs	---
Electricity	---
Stage	---