Special Event Request 2025

EVENT INFORMATION

Event/Activity Name

Movie Night

CONTACT INFORMATION

Facility (See link to park locations and descriptions above)	---
***Other Description	Admirals Hill
Event Date	8/6/2025
Applicants Name	---
Contact Person	---
Cell Phone	---
Email Address	---
Day Phone	---
Address	---
Name of Supervisor/Vendor on Site	---
Supervisor/Vendor Phone Number	+16159395176
Name of Second Supervisor on Site	---
Second Supervisor Phone Number	+18573126433
Total Estimated Number of Participants	25
Estimated Number of ADULT Participants	5
Estimated Number of YOUTH Participants	20
Organization Type	Chelsea Youth Organization - must have 51% Chelsea Residents
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: Single Date - Time

Date	2025-08-06
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)	9:00pm-10:00pm

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 , Stages or other temporary structures

Food and Beverage/ Fire Department and Licensing

Will food and beverages be:	---
Please specify all food and beverages that will be provided	---

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	---