Meeting Room Reservation Form printable pdf download

Meeting Room Reservation Form

Meeting rooms may be reserved up to one month in advance.

Meeting Room Location: Paonia_________ Delta_________ Cedaredge_________

Please initial each of the statements below:

I have read the complete ‘Meeting Room Policy’ and understand the following:

______The meeting room is not available to for profit groups.

______Admission/Registration fees can not be charged and no product or service can be

sold.

______All meetings must be open to the general public.

______Prior arrangements must be made with library staff for instructions on

opening/closing and equipment use.

Name of organization_____________________________________________________

Name of applicant________________________________________________________

Address________________________________________________________________

Telephone_______________________E-mail__________________________________

Date requested_______________________________Time: From_______To________

Size of group___________________________________

Description of activities to be conducted______________________________________

______________________________________________________________________

Equipment needed_______________________________________________________

A $50 deposit will be required to ensure reservation of Paonia Conference Room only.

Permission is hereby requested for the use of the Library’s Meeting Room. The undersigned is

over 21 years of age, has read the Library’s policy regarding the use of the Meeting Room,

and on behalf of the organization he/she represents agrees to abide by all rules and policies

governing the use of the Room. On behalf of the organization, the undersigned further accepts

responsibility for any damages incurred to library property either deliberately or through

negligence on the part of members of this organization or persons in attendance and agrees to

pay for damages assessed by the Delta County Libraries. The undersigned shall release/hold

harmless the Delta County Libraries from any and all claims for personal injury or property

damage while on the premises.

Signature of Applicant_____________________________________________ Date_________

Authorized Signature of Library Staff_________________________________ Date_________

Date Deposit Received________________ Library Staff Initials____________

Date of Equipment Instruction__________ Library Staff Initials___________

Meeting Room Reservation Form