Middlefield, OH · Geauga County

No notary required

Revocable Permit for Use of the Community Senior Center

Organizations use this permit to request use of the Middlefield Community Senior Center and provide event, contact, and scheduling details.

What this form is

An organization completes this permit to request use of the Middlefield Community Senior Center. It asks for the organization’s contact information, purpose of the request, expected attendance, kitchen needs, and requested dates and times; the Village may approve or deny the request. The form also includes use rules, key procedures, and weekday and weekend fee amounts.

Who needs it

An organization seeking to use the Middlefield Community Senior Center should complete this permit with its event and contact details.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed and dated without a notary; the authorized representative just signs and dates the request.

How to submit this form

  1. 1

    Download the Permit

    Download the Community Senior Center permit PDF.

  2. 2

    Complete the Request

    Enter the organization and contact information, purpose, expected attendance, kitchen needs, and requested dates and times.

  3. 3

    Review the Rules

    Read the facility rules and key sign-out procedure included with the permit.

  4. 4

    Sign and Submit

    Have the authorized representative sign and date the request, then submit it using the city’s current contact details.

Frequently asked questions

What is the Community Senior Center use permit?
It is a revocable permit request for an organization seeking to use the Middlefield Community Senior Center. The form includes event details, use rules, and key procedures.
Who completes the permit?
An organization seeking to use the Center provides its name, contact details, purpose of the request, expected attendance, kitchen needs, and requested dates and times.
Do I need a notary for the Community Senior Center use permit?
No. This document is signed and dated without a notary; the authorized representative just signs and dates the request.
How do I submit the Community Senior Center use permit?
The form does not state how to submit it. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Revocable Permit for Use of the Community Senior Center doesn’t need a notary — but if you have another Middlefield form that does, a commissioned online notary can help.