Meeting Room Reservation Form
Herr Memorial Library
Date of application
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Name of organization
Name of individual filing application
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Estimated attendance for use
*
Date to reserve
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time to reserve
*
Name of program
*
Brief Description
*
Room required
*
Upstairs Community Room (29 Occupancy)
Downstairs Study Room A (6 Occupancy) Teens only
Downstairs Study Room B (6 Occupancy) Teens only
Equipment Requested | *Indicates training required prior to meeting date.
*
Podium
Whiteboard/Flip Chart Easel
Laptop*
Tables and Stacking Chairs
Kitchenette Space
None
The undersigned after reviewing the meeting room policy, on behalf of the above organization, agrees to inform participants of all regulations governing the use of the meeting room, to accept full liability for any damage to facilities or equipment, and to confine the organization’s activities to the assigned room.
*
Submit
Should be Empty: