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FL MMOT General Request

Community & Organization Request - Florida MMOT

This form is for those wishing to request the Florida Mobile Museum of Tolerance (MMOT) for a visit to their community or event. Please provide the necessary details to help us process your request.

Requested Dates(Required)

Please provide the date(s) you are requesting to book the MMOT. Please note that this is a request, and we cannot guarantee availability for the specified dates. We will do our best to accommodate your request and will follow up with you to finalize scheduling.

Hours of Operation (Start/End):

Please provide the start and end times for your hours of operation or the time frame during which you would like the MMOT to be available. This information helps us plan and coordinate the visit effectively.

Organization Information

Organization Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Location of Event

Name of Location(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Contact Information

Please provide the name, phone number, and email address of the primary contact for this MMOT request. This information will be used to communicate important details and updates regarding your request. A secondary contact is optional, but can be included for additional communication purposes.

Primary Contact Name(Required)

First Last

Phone(Required)

Primary Contact Email(Required)

Secondary Contact Name

First Last

Phone

Secondary Contact Email

Media and Press Disclaimer(Required)

Media access to the Mobile Museum of Tolerance (MMOT), including interviews or communications with MMOT staff, is strictly prohibited without prior authorization from the Simon Wiesenthal Center (SWC). All media inquiries and media-related coordination for schools or organizations hosting the MMOT must be directed to SWC at pressinquiries@wiesenthal.com.

I have read and understand the Media and Press Policy.

On-site Facilities Contact

Please provide the name and cell phone number of an individual who will be on-site upon the arrival of the MMOT (e.g., facilities manager, security personnel, or maintenance staff).

Name

First Last

Title

Direct Phone Number:

Certificate Of Insurance (COI)

If a Certificate of Insurance (COI) is required, please provide the name and address for the Certificate Holder. If additional insured parties are needed, include their names and addresses as well.

Is a COI required?(Required)

YES

NO

Certificate Holder Name(Required)

First Last

Certificate Holder Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Additional Insured needed?

YES

NO

Additional Insured Name

First Last

Additional Insured Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parking Information

The MMOT is a CLASS 8 CMV (commercial motorized vehicle). It requires a designated, level parking area of at least 20 feet by 50 feet (approximately six parking spaces) to accommodate the vehicle and ensure safe entry and exit for students and guests.

Vehicle Access and Load-In:

Please allow a minimum of two hours for the setup and takedown of the MMOT. To ensure a seamless event start, we recommend scheduling load-in for the afternoon or evening prior to the event. Kindly indicate any preferred load-in times.

Will the MMOT require entry through a gate to access the parking area? If so please list the location of the gate below

Individual authorized to open the gate:

Overnight Parking

Will the MMOT have access to overnight parking before, during, and/or after the event?

Yes

No

Parking Permits(Required)

Are Parking permits required for the MMOT to park at the event location?

Yes, permits are required and/or special parking regulations

No

Unsure

ACKNOWLEDGEMENT(Required)

I understand that due to the nature and design of the Mobile Museums of Tolerance, certain weather conditions make it difficult for vehicle operation. In the event of severe weather conditions that may pose a safety risk, the MMOT visit may be postponed or rescheduled.

I acknowledge and agree

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