community room sign up form

Grant Area District Library Meeting Room Reservation (Please allow 30 minutes for set-up)
Date of Meeting

Month Day Year
Date
Time:
Meeting rooms MUST BE VACATED by the agreed upon time or a $35.00 fee will be incurred. Organizations will be charged $35.00 each time staff is required to either open and/or close the library.
Name of Organization
Contact Person
Phone
Email
example@example.com
Nature and Purpose of Meeting
Expected Attendance
First Time User

yes no
Coffee pot
Sound system
Easel
Podium
Projector
NOTE: I understand that my organization is financially responsible for the repair of damage to rooms, furnishings and the repair or replacement of any of the equipment listed above that is damaged or missing following this session. I also understand that my organization is responsible to clean up according to the checklist. furnished to me, and to give notice of cancellation within two working days prior to the meeting to the Office Manager.
I hereby apply for use of the library's meeting room and agree to abide by the policies
Date

Month Day Year
Date
Should be Empty: