Geauga Park District
Special Use Permit Written Requests

This written request must be submitted AT LEAST THREE (3) WEEKS PRIOR TO YOUR EVENT. Submit your request by completing the form below and clicking Submit Application, or by mailing it to Geauga Park District, Attn: Permits, 9160 Robinson Road, Chardon, Ohio 44024.

Allow up to three (3) weeks for processing, during which time we will hold your facility for you. We will notify you of the finished process. To cancel a request or reservation meanwhile, please call 440-286-9516 as soon as possible. Thank you for your cooperation.

Instructions

• Complete and submit the following form.
• Note: Your permit will not be valid until a signed copy is sent back to you via email.

Applicant Information
* - required
* Name:
* Address:
* City, State, Zip:
* Phone:
* E-Mail Address:
Event Details (Please give specifics)
* Reservation Receipt Number:	Reservation must be made before completing this form for a facility reservation
Organization or Group Name:
* Type of Event:
* Expected Attendance:
* Event Date:
Event Day Timeline:	(Example: Setup time, Actual Event Start & End Time, Cleanup Time)
* Park:	Select Park B Benner Metzenbaum Park Bass Lake Preserve Beartown Lakes Reservation Big Creek Park Burton Wetlands Nature Preserve Chickagami Park Claridon Woodlands Eldon Russell Park Frohring Meadows Headwaters Park Holbrook Hollows Holbrook Hollows - Franklin Marsh Modroo Preserve Mountain Run Station Observatory Park Orchard Hills Park Russell Uplands Preserve Sunnybrook Preserve Swine Creek Reservation The Maple Highlands Trail The Rookery The West Woods Troy Wetlands Tupelo Pond in Big Creek Park Veterans Legacy Woods Walter C. Best Wildlife Preserve Welton's Gorge Westwood Land Lab Whitlam Woods Woodin Road Park
* Will you be using trails for your event?	(If yes, specify trail(s) or location(s) in box below)
	Yes No
* Which trail(s) or location(s)?
Equipment & Rental Details
* Will you bring any personal equipment to set up?	(tent, chairs, tables, speakers, other items)
	Yes No
Personal equipment being used, if applicable:
* Are you utilizing a vendor for your event?	(Example: caterer/food truck, entertainment/DJ, equipment rental, games)
	Yes No
Vendor Information:
Other Event Information
* Please provide all other relevant information and specific event details to assist in the permit process:
* Signature and Date: