Chelsea Recreation & Cultural Affairs

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

Jul 02, 2025
submission #204
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 +16174665132
Brief Description of Event (please be as thorough as possible) ---
Total Estimated Number of Participants 60
School Clark Avenue 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.. Food will be delivered and stored in fridge if needed.

First Preference For Event Date

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

First preference: Single Date

Date 2025-09-02
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) 6:30-7:30pm

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? No, no Clark Ave Principal review.