Harrison District Library Room Request

Harrison District Library
Application for use of Meeting Room
PLEASE NOTE: Requests received after library hours of operation will be answered the next business day.

If you need a meeting room on the same day as your online request, please contact the library directly to check room availability or to schedule a room.
Todays Date

MonthDayYear
Type of Organization
Date Requested

MonthDayYear
Time of your Arrival for Setup

:HourMinutesAM/PM Option
Time of your Arrival for Setup
Start Time of Event
Start Time of Event

:HourMinutesAM/PM Option
End Time of Event

:HourMinutesAM/PM Option
End Time of Event
Name of Group
Name of Responsible Party
Township or City Residency
Position in Organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
Purpose of Meeting
ROOM CAPACITY 30 PEOPLE
Expected Attendance
Refreshments
Special Requirements
Chairs Needed
Tables Needed
Would youlike the use of a Projector or Laptop
Payment for rooms may be paid at the Circulation Desk Any payment arrangements needed must be made with the Library Director in advance of the meeting. Failure to adhere to these policies will result in termination of room application.
Terms and Conditions

The Applicant agrees to return the library facilities used to a clean and orderly condition at the end of the activity and pay the cost of repair of damage to the facilities. The Harrison District Library will not be responsible for any materials or equipment left in the building. If a Library Projector and or Laptop is used items must be returned to the circulation desk before you leave the property. You are responsible for any and all damage to Library Property. If you have any questions or concerns regarding these policies or the cost of room usage fees, please refer them to the Harrison District Library Board
Acknowledgement of Acceptance

By checking the box below you agree to adhere to all terms and conditions stated in both the Library Meeting Room Policy and of Application. Failure to check the box will result in termination of said Application. We strongly encourage you to read the Policies and Terms and Conditions of room usage before accepting
Full Name

First NameLast Name
Acknowledgement of Acceptance
Should be Empty:

Harrison District Library

Application for use of Meeting Room

ROOM CAPACITY 30 PEOPLE

Payment for rooms may be paid at the Circulation Desk Any payment arrangements needed must be made with the Library Director in advance of the meeting. Failure to adhere to these policies will result in termination of room application.

Terms and Conditions

Acknowledgement of Acceptance