Meeting Room Request

Date *

Organization/Group *

Dates & Times Needed *

Room Requested *

Auditorium

Community Room

Small Meeting Room

Purpose of Meeting *

Check all that apply

Other Meeting Purpose

Applicant Name *

First

Last *

Last

Email *

Address *

Phone *

*

I agree that I have read the Louis Latzer Memorial Library policy on the use of the meeting room and agree to comply with all regulations.

*

I understand that failure to comply with such regulations may result in termination of the right to use the Library meeting room facilities and the group/organizations' $50.00 deposit will not be returned.

Applicant E-Signature *

Application for Community Room Use