Application for Use of Meeting Rooms

Application for Use of Meeting Rooms
Prior to filling out this application, please review the St. Louis Public Library Meeting Room Policy. Anyone using the Library’s meeting rooms must abide by the terms of this policy and the Appropriate Use of the Library policy.
Group Information

Use this section to provide information about your group or organization.
Group / Organization Name*
Purpose / Function of the Group or Organization*
Organization Address*

Street Address

Street Address Line 2

CityState

Zip Code
Contact Person*

First NameLast Name
Contact Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Do you have a St. Louis Public Library Card?*

YesNo
Contact Preference*

EmailPhone

Agreement
Before continuing on, be sure to read through these policies:
- St. Louis Public Library Meeting Room Policy
- Appropriate Use of the Library
I have read and agree to comply with the Meeting Room policy & the Appropriate Use of the Library policy.I am aware that groups holding meetings or programs must in no way affiliate themselves with the Library.I am aware that any publicity for the meeting or program must indicate an age level for the intended audience and must include the following statement: "This program is not sponsored by or affiliated with St. Louis Public Library (see rules #18 & #19).I am aware that the contact name and contact phone number listed on this form may be released to Library customers with inquiries related to the meeting or program (see rule #20).
Signature

Clear
Printed Name
Date Signed

MonthDayYear
Date
Please verify that you are human*
Should be Empty:

Group Information