Chelsea Recreation & Cultural Affairs

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

Sep 08, 2021
submission #5
Reservation Form

Contact Person

Name/Last Name ---
Phone ---
Cell Phone ---
Email Address ---

EVENT INFORMATION

Event/Activity Name ---
Leader's Name ---
Brief Description of Event ---
School ---
Facility ---

Additional Questions

Will food be served? No

First Preference For Event Date

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

First preference: Single Date - Time

Date 2021-09-22
Total Event Time (i.e. 2-6pm) ---

Second Choice - Single Date

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.