Application for the Fassett Community Room or the Fitze Study Rooms

Fassett Community Room rental reservation form

Please refer to the TPL Fassett Community Room Policy to make sure your meeting qualifies to be held in the Community Room
Organization Name:*
Program Name (if applicable):
Purpose of meeting:*
Community Room Reservation Request:*

Community Room (full)Community Room (half)
Community Room audio/visual equipment

Yes, I will need audio/visual (AV) equipmentNo, I will not need AV equipment
Study Room Reservation Request:*

Small Study Room (2 people)Large Study Room (6 people)
Anticipated number of attendees:*
Maximum Capacities: Community Room (100), Large Fitze Study Room (6), Small Fitze Study Room (2)
Frequency:*

One Time UseDaily (consistent time)Weekly (consistent time)Bi-Weekly (consistent time)Monthly (consistent time)Custom Dates and/or Times
- Date Requested:
  
  MonthDayYear
  Date
- Time Requested:
  
  :HourMinutesAM/PM Option
  Until
  until :HourMinutesAM/PM Option
- ** You will not be able to "Submit" this request if a date or time is missing
- Start Date Requested:
  
  MonthDayYear
  Date
- End Date Requested:
  
  MonthDayYear
  Date
- Time Requested:
  
  :HourMinutesAM/PM Option
  Until
  until :HourMinutesAM/PM Option
- ** You will not be able to "Submit" this request if a date or time is missing
- Please enter a list of Custom Dates with Start/End times denoted for each:
- ** You will not be able to "Submit" this request if this field is left empty
- Contact Person:*
  
  TitleFirst NameLast Name
- Mailing Address:*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Primary Contact Number*
  
  Area CodePhone Number
- Secondary Contact Number
  
  Area CodePhone Number
- Contact Email:*
  example@example.com
- Statement of Responsibility:
- Signature:*
- I have read the TPL Community and Study Room Use Policy. I understand and agree to the terms thereof. SPECIAL NOTICE: (1.) This submission does not guarantee the use of the Community Room or a Study Room (2.) The cancellation policy requires 48 hours notice (3.) The rental payment must be made no later than a day prior to the event. The reservation will be confirmed by a library staff member before the event can be scheduled by the responsible party. By selecting "Yes" below, I understand and agree that my electronic submission of this form constitutes my acceptance of responsibility and agreement to the terms and conditions set-forth.*
  
  Yes
- Should be Empty:

Fassett Community Room rental reservation form