Special Event Request 2025

EVENT INFORMATION

Event/Activity Name

Chelsea HCD / GreenRoots tabling night

CONTACT INFORMATION

Facility (See link to park locations and descriptions above)	---
Event Date	9/9/2025
Applicants Name	---
Contact Person	---
Cell Phone	---
Email Address	---
Day Phone	---
Address	---
Name of Supervisor/Vendor on Site	---
Supervisor/Vendor Phone Number	+16175431065
Name of Second Supervisor on Site	---
Second Supervisor Phone Number	+16175431065
Total Estimated Number of Participants	50
Estimated Number of ADULT Participants	50
Estimated Number of YOUTH Participants	0
Organization Type	City or School Use, Non Profit - may be asked to provide State Tax # or Federal EIN#
Activity	Community Use (please specify below)
Brief Description of Event	---
Special Requirements	---

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	2025-09-09
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)	7-7:15

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?

No

Licensing Department and Inspectional Services Department

Are any of the following part of your event?

Food and beverages

Food and Beverage/ Fire Department and Licensing

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).)

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