Chelsea Recreation & Cultural Affairs

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

Jul 03, 2025
submission #206
Reservation Form

Contact Person

Name/Last Name ---
Phone ---
Email Address ---
School Clark Avenue Middle School

EVENT INFORMATION

Event/Activity Name ---
Leader's Name ---
Leader's Phone Number +16174664477
Brief Description of Event (please be as thorough as possible) ---
Total Estimated Number of Participants 80
School Clark Avenue Middle School
Space Needed ---
If you selected classroom(s) above, how many will you need? ---
Do you require equipment or setup? ---
Please specify what equipment you need/set-up A/V (mic, screen to present, and wifi)
Will food be served? Yes

Additional Questions - Food

Please explain what kind of food, how it will be stored, etc.. coffee, water, sandwiches, pastry

First Preference For Event Date

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

First Preference: Seasonal

Dates ---
Days of the Week ---
Times ---

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.