*CPS INTERNAL USE - Browne, Wright & Clark Schools Facility Request
Oct 01, 2021
submission
#9
Reservation Form
Contact Person
| Name/Last Name | --- |
| Phone | --- |
| Email Address | --- |
| School | Clark Avenue Middle School |
EVENT INFORMATION
| Event/Activity Name | --- |
| Leader's Name | --- |
| Leader's Phone Number | +16174665104 |
| Brief Description of Event | --- |
| School Building | --- |
| Facility | --- |
| If you selected classrooms, how many will be needed? | --- |
| Total Estimated Number of Participants | 20 |
| Do you require special equipment or setup? | --- |
| Please specify | Room 302 |
Additional Questions
| Will food be served? | No |
First Preference For Event Date
| Is this event happening on one date or multiple dates? | --- |
Second Choice - Single Date
| If your first choice date is not available, do you have a second choice? | --- |