Application for Use of the Meeting Rooms
Date of Application ______________ Room Requested_________________
Date of Meeting(s)__________________ Time of Meeting(s)______________
Insured by__________________________ Agent/Company (certificate attached)
Name of Individual Representing Organization_________________________
Telephone: (home)____________________ (work)___________________
I understand that my organization will be responsible for any damage incurred;
that the guidelines for meeting room use must be adhered to; and that our
continued use of the meeting rooms depends upon our ability to follow these guidelines. I have received a copy of the guidelines and have read it before completing this application.
Please complete this application and return it to the Library Secretary, Cora J. Belden Library, 33 Church Street, Rocky Hill, CT 06067. It must be signed and returned to the library before the room is used.
Approved by the Library Board of Directors 3/9/98; Amended 8/21/06