Program & Event Request

RICHFIELD HERITAGE PRESERVE Program & Event Request

Richfield Joint Recreation District, P.O. Box 246, Richfield, OH 44286
By completing this form, you are requesting the use of Richfield Heritage Preserve facilities or its grounds for an event or program. Approval of the request will be communicated to your contact person. Please do not advertise your event until approval and confirmation has been received. Please note permit fees, shelter reservation fees, or proof of insurance may be required. Please review the Use Agreement and Park Rules and Regulations. Once completed, click the SUBMIT button at the bottom of this form. You will receive an email reply copy of your submission.
Applicant Contact Information
Name*

First NameLast Name
Group Name*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Program Information
Program or Event Name *
Description of program or event: *
Event Type*

VirtualIn Person
Contact Person Name (this person must be on site the day of the event) **

First NameLast Name
Contact Person Phone Number*
Please enter a valid phone number.
Event Arrival*

MonthDayYear
Date
Hour MinutesAM/PM Option
Event Departure*

MonthDayYear
Date
Hour MinutesAM/PM Option
Requested Park Area or Facility*

The LodgeHigh Lea Open-Air ShelterMable Smith Open-Air ShelterWaterfront Open-Air ShelterWayside Open-Air ShelterWonken Tonken Open-Air ShelterSummer BarnOther
Program or Event Category*

Organized Hike/RunFundraiserDay CampWeddingScoutsOther
Expected Attendance:*
Will there be alcohol at the event?*

YesNo
Is your group a registered 501(c)3?*

YesNo
Please indicate any special accommodations required for your event (e.g.temporary vehicle accesses, gate access, additional dumpsters, additional portable restrooms, tools). All requests will be reviewed. Approval or denial of your requests will be communicated to your contact person. Additional fees may apply. *
Will you require assistance from RJRD?*

YesNo
By signing this form, I acknowledge that I read and agree to the Richfield Joint Recreation District Use Agreement and the Park Ruels and Regulations.
Signature*

Clear
Date Signed

MonthDayYear
Date
Should be Empty:

RICHFIELD HERITAGE PRESERVE Program & Event Request

Applicant Contact Information

Program Information