HOLBROOK PUBLIC LIBRARY MEETING ROOM

Application for Use

_________________20____

(Name of Organization)

requests the use of the Meeting Room on________________________
(Date)

between the hours of ___________ and ___________.

This application is being made for the organization by:

(Name of adult applying)

(Address)

(Telephone)

who personally accepts the responsibility for payment of bills, observance of regulations, any damage to library property and equipment, and any personal injury occuring due to the negligence of the above-referred organization.

Number in group:____________

Purpose of meeting:

PLEASE NOTE!!! On arrival to use the Meeting Room, a person designated by your organization/group is to sign in at the Circulation Desk. This is to be done every time the Meeting Room is used.