Meeting Room Request Form

Room requested: Conference RoomLarge room

Name of Group/Organization

Contact Person

Address

Telephone (xxx-xxx-xxxx)

Email

Name of President or Chairperson

Purpose of Meeting (Please describe in detail; attach agenda if available. If having a speaker, please give subject of speech.)

Meeting Date Requested
Time period requested ( ___ - ___)

Anticipated Attendance

Will literature or Press releases be distributed? YesNo If so, please attach a copy.

Will refreshments be served? YesNo

If so, what type of refreshments?

Please attach any relevant documents here.

I, the undersigned, being eighteen years of age or older, have read the meeting room policy and regulations and agree to comply therewith. I agree to be responsible to the Public Library for the use and care of library property and facilities. As the undersigned, I understand my responsibilities include:

1) Paying for any damages to library property occurring during or in connection with the meeting;

2) Enforcing the meeting room regulations;

3) Cleaning up the room & leaving room in order at conclusion of the meeting;

4) Informing a library staff member that the meeting has ended;

5) Notifying the Librarian of number in attendance at meeting;

6) Returning a meeting room key (as specified by Librarian).
 
Because parking near the building is so limited, if your meeting occurs during library hours, we ask that you please request members of your group park around the perimeter of the hill. Those with physical limitations will be exceptions. Thank you for your consideration.
 
I agree to these conditions.
 
Please type your full name below. This is your electronic signature.