CITY OF CLEVELAND

MAYORS OFFICE OF SUSTAINABILITY

SUSTAINABLE CLEVELAND CENTER 230 W. HURON ROAD, SUITE 100.31 CLEVELAND, OHIO 44113

EVENT REQUEST FORM

PH: (216) 664-2801 FAX: (216) 420-7595 PSELDON@CITY.CLEVELAND.OH.US

PLEASE COMPLETE THE FOLLOWING FORM TO REQUEST USE OF THE SUSTAINABLE CLEVELAND CENTER

This application is only a request to use the Sustainable Cleveland Center. All requests for the Sustainable Cleveland Center must be reviewed and approved before an event can be scheduled. Applicants should submit requests at least ten (10) business days prior to the event date. Applicants may submit the completed form in person, by email/fax, or mail to the above address. (Please note email is the preferred method of submission).

APPLICANT INFORMATION
APPLICATION DATE APPLICANT NAME ORGANIZATION/GROUP NAME (WHEN APPLICABLE)

STREET ADDRESS

CITY

STATE

ZIP CODE

PRIMARY PHONE NUMBER

(REQUIRED)

SECONDARY PHONE NUMBER

(OPTIONAL)

EMAIL ADDRESS
(OPTIONAL)

IS THIS A REOCCURRING EVENT?

YES

NO

IF YES, HOW OFTEN (e.g. WEEKLY, BIWEEKLY, MONTHLY, ETC.):

EVENT INFORMATION
EVENT DATE ESTIMATED ATTENDANCE EVENT TYPE (e.g. SC2019 WORK GROUP, COMMUNITY MEETING, ETC.)

EVENT DESCRIPTION

EVENT START TIME

EVENT ENDING TIME

SETUP REQUESTED (e.g. PROJECTOR, LAPTOP, ETC.)

EQUIPMENT YOU ARE PROVIDING (e.g. SPEAKERS, TABLECLOTH, ETC.)

FOR OFFICE USE ONLY, DO NOT FILL IN BELOW

APPROVED BY DATE APPROVED SC2019 DONATION (AMOUNT)

EVENT REQUEST FORM (4/2012)

BEFORE PRINTING THIS MESSAGE, THINK CAREFULLY IF IT'S REALLY NECESSARY. PRINTING WASTES ELECTRICITY, TONER AND PAPER

MAYORS OFFICE OF SUSTAINABILITY

SUSTAINABLE CLEVELAND CENTER
230 W. HURON ROAD, SUITE 100.31 CLEVELAND, OHIO 44113
PH: (216) 664-2801 FAX: (216) 420-7595 PSELDON@CITY.CLEVELAND.OH.US

RULES & REGULATIONS FOR USE OF THE SUSTAINABLE CLEVELAND CENTER The following rules apply to all groups or person(s) using property and/or equipment under the jurisdiction of the Mayors Office of Sustainability in the Sustainable Cleveland Center.

1) Requests may be denied or revoked by the Sustainable Cleveland Center when the use of property authorized under the agreement is used for any purpose other than permitted function, when there has been a violation of these regulations, or when the Sustainable Cleveland Center determines that the proposed activity is not in the best public interest. 2) All of the Sustainable Cleveland Centers property or equipment must be left in clean and orderly condition at the conclusion of any event. Sustainable Cleveland Center personnel will conduct an inspection after use of the site. 3) If the Sustainable Cleveland Center is found damaged and/or unclean, the applicant or organization will be billed for any and/or all costs incurred by the Sustainable Cleveland Center as a result of group's activity. 4) No alcoholic beverages permitted in the Sustainable Cleveland Center unless specified. If alcohol is served, it must be in adherence to the rules provided by the Forest City Enterprises, Inc. and the City of Cleveland. 5) If during the course of any event or activity in the Sustainable Cleveland Center, the activities of any participant(s) or spectators(s) have become abusive or destructive to property or equipment, or have become adverse to the intent for which an event has been granted, the City of Cleveland reserves the right to immediately adjourn such event or activity. 6) Music or sound must be kept at a volume that does not interfere with neighboring businesses. 7) Vehicles are allowed in designated parking areas only. The participant is responsible for any fee associated, unless specified. 8) No gambling permitted in the Sustainable Cleveland Center.

I have read and agree to abide by all rules and regulations stated above.

_______________________________________ APPLICANTS SIGNATURE

______________ DATE.

EVENT REQUEST FORM (4/2012)

BEFORE PRINTING THIS MESSAGE, THINK CAREFULLY IF IT'S REALLY NECESSARY. PRINTING WASTES ELECTRICITY, TONER AND PAPER