Special Event Request 2025

EVENT INFORMATION

Event/Activity Name

Cumpleaños

CONTACT INFORMATION

Facility (See link to park locations and descriptions above)	---
***Other Description	Mary O'Malley State Park Chelsea MA 02149
Event Date	Septiembre 06 2025
Applicants Name	---
Contact Person	---
Cell Phone	---
Email Address	---
Day Phone	---
Address	---
Name of Supervisor/Vendor on Site	---
Supervisor/Vendor Phone Number	+16173808290
Name of Second Supervisor on Site	---
Second Supervisor Phone Number	+16175801686
Total Estimated Number of Participants	20
Estimated Number of ADULT Participants	14
Estimated Number of YOUTH Participants	6
Organization Type	Chelsea Youth Organization - must have 51% Chelsea Residents
Activity	Private Party (please specify below)
Brief Description of Event	---

First Preference For Event Date

Is this event happening on one date or multiple dates?

---

First preference: Single Date - Time

Date	2025-09-06
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)	6.30 pm to 7.00pm

Second Choice - Single Date

If your first choice date is not available, do you have a second choice?

---

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?

None of these will be part of my event.

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).)

---

Additional Information

Please list any additional Special Requirements

---