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COUNTY OF
MERCER
MERCER COUNTY LIBRARY SYSTEM
COMMUNITY ROOM REGISTRATION FORM ATTACHMENT E.
AGENCY :(State,
County) ___________________
DEPARTMENT:________________________
NAME OF
GROUP:_______________________________________________________________
DATE & TIME OF
RESERVATION:________________________________________________
CONTACT
PERSON:_____________________________________________________________
ADDRESS:______________________________________________________________________
PHONE:____________________________________________
EMAIL: _______________________
PURPOSE OF
MEETING:_________________________________________________________
NUMBER OF PERSONS EXPECTED TO
ATTEND:____________________________________
DO YOU PLAN TO BE HERE AFTER 9:00
PM?______________________________________
ASSIGNED TO
ROOM:__________________________________________________________
STAFF PERSON TAKING REQUEST:
______________________DATE:______________
I hereby:
-
Assume full
responsibility for any loss or damage to property of the
Library, which may occur during the group’s use of the
Library Community Room and absolve the Library of any
responsibility for any loss or damage to property of the
group or individual or injury to the group or individual
while the group is meeting in the Library.
-
Although
light refreshment will be allowed in the outside
community rooms, there will be no food or drink allowed
in the inside community rooms. Groups will assume
responsibility for room set up and clean up.
-
The groups
must vacate the inside community rooms by 8:30 pm,
Monday through Thursday, 4:30 pm Friday, 4:30 pm
Saturday and 4:30 pm on Sunday.
-
Understand
that any group who violates any of the Library Community
Room policies will not be permitted to reserve a
community room again.
-
Agree to
limit the size of the group to the capacity of the
meeting room, which is_________________
-
Certify that
I have received, read and will abide by the rules
relating to the use of the community rooms and that I am
over the age of 18.
-
Certify that
the organization I represent is not for profit and this
meeting is free and open to the public.
-
Understand that any advertisement must be reviewed by
the Library Branch Manager or their designee for
approval. Such advertisements will include the
statement; “meeting of an organization at any of the
facilities of the Mercer County Library System in no way
implies endorsement of its programs.”
SIGNED:_________________________________________________________
DATE:_________________________ |
