Accessibility Equipment Booking

Reserve Accessibility Equipment
Organization
Event Name
Venue Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Main Contact Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Which service(s) are you are planning to offer with the equipment? (check all that apply)

Audio DescriptionAssistive ListeningSimultaneous Translation
Why are you providing this/these services?

For a planned accommodated event (not in response to a particular patron request)At the request of a patron for an accommodation for this particular date and timeOther
Is this the first time that you have used this equipment?

YesNoOther
Pick up location

Greater Pittsburgh Arts Council (pick up during business hours)City Theatre (some weekend and evening times available for pick up)
How many receiver units do you need?*

Twelve (12)Twenty Four (24)
Please upload your insurance certificate. The Greater Pittsburgh Arts Council should be listed as "additionally insured."*

Browse Files

Cancelof
Arts Council Equipment Pickup Date*

MonthDayYear
Date
Please select all dates for which you are requesting to borrow the equipment.
GPAC Equipment Reservation
City Theatre Equipment Reservation
Should be Empty:

Reserve Accessibility Equipment