Special Event Request 2025

EVENT INFORMATION

Event/Activity Name

HarborCOV Backpack Distribution

CONTACT INFORMATION

Facility (See link to park locations and descriptions above)	---
Event Date	8/27/2025
Applicants Name	---
Contact Person	---
Cell Phone	---
Email Address	---
Day Phone	---
Address	---
Name of Supervisor/Vendor on Site	---
Supervisor/Vendor Phone Number	+19787614928
Name of Second Supervisor on Site	---
Second Supervisor Phone Number	+16178344612
Total Estimated Number of Participants	30
Estimated Number of ADULT Participants	25
Estimated Number of YOUTH Participants	5
Organization Type	Non Profit - may be asked to provide State Tax # or Federal EIN#
Activity	Community Use (please specify below)
Brief Description of Event	---

First Preference For Event Date

Is this event happening on one date or multiple dates?

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First preference: Two or More Dates - Times

Dates (i.e. Every Sunday starting June 1 until September 1, from 10am-12pm)

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Second Choice Interest: Two or More Dates

If your first choice dates are not available, do you have a second choice?

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Second Preference: Multiple Dates

Dates (i.e. Every Sunday starting June 1 until September 1, from 10am-12pm)	---
Facility (See link to park locations and descriptions above)	---

Specialized Event

Does your event fall under one of these categories?

No

Licensing Department and Inspectional Services Department

Are any of the following part of your event?

Food and beverages

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

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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