Portable Universal Changing Station | Cuyahoga County Board of Developmental Disabilities

Contact Name *

Contact Title

Phone Number

E-mail Address *

Are you the best person to contact for day-of-event questions?

Yes
No

Organization Name

Name of Event

Event Dates(s)

Date Picker

Event Timeframe

Event Location (Include Full Address)

Expected number of attendees

Are you able to list the portable, height-adjustable universal changing table as an available accommodation in your registration process?

Yes
No

Brief description of event

One important part of providing a universal changing table at your event is making sure the public knows this accommodation will be available. Please share how you will market the availability of this accommodation at your event

Why is it important to have a universal changing table at this event?

Can you provide an overhead map of where the portable changing station will be located and directions for drop off? (Note: Cuyahoga DD does a walk-through of event spaces before the placement of the universal changing table is determined).

Yes
No
Other

If you are working with another staff member from Cuyahoga DD to coordinate aspects of this event, please list their name here (not a required answer):

Portable Changing Station Request Form