Interested in hosting a Cooling Location
Completing this form does not guarantee that your location will be placed on the online map. We will make our best effort to contact you on the same day. However, forms submitted after 4 pm will likely not receive a confirmation call until the following day.

A representative will contact you to confirm details and can help answer any questions you may have.
Once you complete this form Requirements for a cooling intervention to be posted on the County's online map:
  • Facility or space is located within Multnomah County
  • If cooling intervention is a building, it must have good (and reliable) air conditioning
  • Guests must be welcomed FREE of charge with no requirement to participate in any specific programming (like prayer or registration, etc)
  • Is safe, welcoming, as accessible as possible, and open to the everyone
By filling out this form, your organization is agreeing to:
  • If for any reason your organization chooses to shorten or extend these dates, or if you need to make any change in the status of your location, please call: 503-865-6049 as soon as possible.
  • Post hours of operation and communicate hours of operation with visitors as they arrive.
Sign in to Google to save your progress. Learn more
Email *
Common Name *
Please provide the name of the facility / location that is being offered as a Cooling Intervention
Address *
Please use STRICT formatting. This will enable us to correctly and accurately upload your location to our map (once we call and confirm with you - the information provided here).

Street Number | Direction Prefix | Street Name | Street Type . 

For example: 1243 NE Burnside St. 
City *
Zip  *
Five digits ONLY, must start with 97. Zipcode lookup. Please do not include any other information. 
Facility Type *
  • Cooling Center: A type of Disaster Resource Center (DRC) with air conditioning, cooling resources, water, food, and support services. These locations operate during the hottest part of the day only. 

  • Cooling Shelter: A type of DRC with air conditioning, cooling resources, water, food, and support services. These locations are similar to Cooling Centers, but operate for 24-hours. 

  • Cooling Space: An air-conditioned space open to the public with water often available. These spaces are open during the hottest part of the day only and do not operate for 24 hours. Community partners, such as houses of worship, may operate Cooling Spaces. 

  • Community Cooling: 

Use Description
Detail specific functions  
  • Indoor: facility is an indoor refuge with AC

  • Misting Tent: outdoor covered area with misting devices

  • Other

Clear selection
Dates of operation *
If for any reason your organization chooses to shorten or extend these dates, please notify: eoc.pio@multco.us as soon as possible. Please use the following format: Monday, 7/25 through Sunday, 7/31.
Hours of Operation *
The hottest hours of the day in Oregon tend to be from 2pm until 9pm or later. If for any reason your organization chooses to shorten or extend these hours, please notify: eoc.pio@multco.us as soon as possible.
Pets *
Don’t let pets become a barrier for supporting people seeking relief from the heat. Multnomah County Animal Services Dispatch (https://www.multcopets.org/animal-rescue-emergency) is always ready to help with Cooling Center/Shelter animal needs. Please feel free to contact them with any questions: 503-988-7387.
Pet details
Please provide any additional detail necessary regarding any restrictions related to pets.
Point of Contact: First Name *
Point of Contact: Last Name(s) *
Please feel free to include the rest of your complete / full name 
24 hr phone/cell *
24 hr phone/cell *
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Multnomah County. Report Abuse