Application
EVENT INFORMATION
| Event/Activity Name |
Chelsea Community Mixer
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CONTACT INFORMATION
| Facility (See link to park locations and descriptions above) |
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| ***Other Description |
Mace Tot Lot Park or possibly Washington Park
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| Event Date |
9/13/25
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| Applicants Name |
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| Contact Person |
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| Cell Phone |
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| Email Address |
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| Day Phone |
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| Address |
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| Name of Supervisor/Vendor on Site |
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| Supervisor/Vendor Phone Number |
+16174617179
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| Name of Second Supervisor on Site |
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| Second Supervisor Phone Number |
+16179154008
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| Total Estimated Number of Participants |
30
|
| Estimated Number of ADULT Participants |
20
|
| Estimated Number of YOUTH Participants |
10
|
| Organization Type |
Chelsea Adult Organization - must have 80% Chelsea Residents
|
| Activity |
Community Use (please specify below)
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| Brief Description of Event |
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| Special Requirements |
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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 |
2025-09-13
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| Total Time (ex. 2:00pm-6:00pm) |
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| Set-up Time (ex. 2:00pm-3:00pm) |
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| Total Event Time (ex. 3:00pm-5:30pm) |
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| Breakdown Time (ex. 5:30pm-6:00pm) |
3:00pm - 4:00pm
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Second Choice - Single Date
| If your first choice date is not available, do you have a second choice? |
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Second Preference: One Date
| Date |
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| Total Time (ex. 2:00pm-6:00pm |
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| Set-up Time (ex. 2:00pm-3:00pm) |
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| Total Event Time (ex. 3:00pm-5:30pm) |
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| Breakdown Time (5:30pm-6:00pm) |
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| Facility (please see link above for park locations and descriptions) |
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Specialized Event
| Does your event fall under one of these categories? |
Yes
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Type of Event
| Select which event type your request is for |
Community Event
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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
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Food and Beverage/ Fire Department and Licensing
| Will food and beverages be: |
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| Please specify all food and beverages that will be provided |
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| Food Trucks |
No/No
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Music and Entertainment: One Day Entertainment License Requirement
| Please describe the type of music or entertainment to be provided: |
There will be a DJ present.
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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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Requested Usage from City of Chelsea
| Tables |
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| Chairs |
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| Electricity |
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| Stage |
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Equipment
| How many tables are needed? |
5
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| How many chairs are needed? |
10
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Indemnification/hold harmless/cleanup
Indemnification/Hold harmless/cleanup
| The signatory shall be responsible for and shall indemnify and hold harmless the City of Chelsea from and against all damages, claims or demands that may, during the term of this license, arise by negligent or intentional acts of signatory or signatory's employees. |
I am responsible for any and all indemnity and hold harmless the City of Chelsea
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| If a permit is issued, I agree that my organization will leave the permitted area clean and orderly, and that all trash will be placed in trash receptacles. |
I agree to pick up and clean any trash caused by this event
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| I understand that I am completing a binding electronic signature when I submit this form constitutes a legal signature. |
Yes
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| Up Load Insurance policy/agreement |
Blank - Agreement.docx
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