Request for Use of Library Facilities
Should be submitted no later than two weeks in advance. Rooms cannot be book until the form is completely filled out. PLEASE NOTE, RESERVATIONS ARE NOT GUARANTEED UNLESS CONFIRMATION IS RECEIVED FROM LIBRARY ADMINISTRATION
Your Name:
*
First Name
Last Name
Name of Organization:
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E-mail (Enter "N/A" if you do not have an email address):
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Primary Phone:
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Type of Phone
*
Home
Work
Cell
Secondary Phone:
Type of Phone
Home
Work
Cell
Preferred Method of Receiving Confirmation
Email
Cell Phone
Home Phone
Work Phone
Date of Application:
*
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Month
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Day
Year
Date Picker Icon
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Dates of Event Being Requested (Sundays are unavailable)
*
Setup Start Time Requested (We cannot honor start times earlier than 9:00 am)
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10
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12
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Hour
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10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Actual Meeting Start Time
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9
10
11
12
:
Hour
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10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Actual Meeting End Time
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9
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:
Hour
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10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Size of Group
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Equipment (Check All That Apply)
*
LCD Projector for Computer
Podium
TV/VCR/DVD
Slide Projector
Large Trash Barrel
Pantry
None
By checking this box, I understand that I, or anyone attending the event I am booking, am not allowed to move the wall partitions in the space. If I, or anyone attending the event, do so, I am liable for payment for any repairs that need to be done as a result of doing so. I will make sure that library staff are contacted to move the wall partitions for me.
*
I have read and agree to this.
Click here to view the library's
Meeting Room Policy.
By checking the box, the applicant indicates that s/he has read and understands the Cumberland Public Library Meeting Room Policy, which relates the procedures, general conditions, violations, and fees applicable to the use of the library property. PLEASE NOTE: Alcoholic beverages are prohibited from being served anywhere on the Monastery Grounds, per Town of Cumberland Ordinance. Since the using organization shall hold the Cumberland Public Library free and without harm for any loss or damage liability or expense that may arise during or be caused in any way by such use or occupancy of the library facility, it is suggested that the using agency, whenever applicable, obtain proper insurance protection to meet its needs.
*
I have read and agree to the conditions of the Meeting Room Policy
By checking this box I will ensure that attendees to thismeeting/program over the age of two who are NOT vaccinated will wear anapproved mask.
*
I have read and agree to the conditions related to COVID-19 restrictions.
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