Request for Use of Library Facilities

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 NameLast Name
Name of Organization:*
E-mail (Enter "N/A" if you do not have an email address):*
Primary Phone:*
Type of Phone*

HomeWorkCell
Secondary Phone:
Type of Phone

HomeWorkCell
Preferred Method of Receiving Confirmation

EmailCell PhoneHome PhoneWork Phone
Date of Application:*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Dates of Event Being Requested (Sundays are unavailable)*
Setup Start Time Requested (We cannot honor start times earlier than 9:00 am)*

:HourMinutesAM/PM Option
Actual Meeting Start Time*

:HourMinutesAM/PM Option
Actual Meeting End Time*

:HourMinutesAM/PM Option
Size of Group*
Equipment (Check All That Apply)*

LCD Projector for ComputerPodiumTV/VCR/DVDSlide ProjectorLarge Trash BarrelPantryNone
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.
Should be Empty: