Meeting Room Reservation Form
Name of the Group/Organization:_________________________________________________
Date Needed: _________________ Start Time: ____________ End Time: ______________
Responsible Party for the Group/Organization (Required):
Name:_______________________________ Alternate: _________________________________
Phone: ______________________________ Phone:_____________________________________
Address:_____________________________ Address:___________________________________
_______________________________________ ____________________________________________
Group Size/Expected Attendance:________________________________________________
Purpose of the Meeting:_________________________________________________________
Equipment Requested:____________________________________________________________
Applicant Accountability/Responsibility Agreement
The undersigned user of the Meeting Room has read the Ingalls Memorial Library Meeting Room Policy, understands and agrees to abide by the guidelines and rules described therein. The user hereby indemnifies and holds harmless the Ingalls Memorial Library, its Library Board of Trustees and staff, the Town of Rindge and its officials for any and all liability which may arise from the use of the premises. All Town of Rindge and Library regulations must be strictly observed. Responsibility for observing all Meeting Room regulations is assumed by the person who signs this form.
Signature:_________________________________________ Date:___________________
Signature:_________________________________________ Date:___________________
(A meeting that the responsible or alternate cannot attend will be cancelled.)
Trained on Equipment: (Include date): ___________________________________________________________________________
Trained to Close Building: ________________________________________________________________________________________
Ingalls Memorial Library
203 Main Street, POB 224, Rindge, NH 03461
Phone: (603) 899-3303 Fax: (603) 899-5797
[email protected]
Name of the Group/Organization:_________________________________________________
Date Needed: _________________ Start Time: ____________ End Time: ______________
Responsible Party for the Group/Organization (Required):
Name:_______________________________ Alternate: _________________________________
Phone: ______________________________ Phone:_____________________________________
Address:_____________________________ Address:___________________________________
_______________________________________ ____________________________________________
Group Size/Expected Attendance:________________________________________________
Purpose of the Meeting:_________________________________________________________
Equipment Requested:____________________________________________________________
Applicant Accountability/Responsibility Agreement
The undersigned user of the Meeting Room has read the Ingalls Memorial Library Meeting Room Policy, understands and agrees to abide by the guidelines and rules described therein. The user hereby indemnifies and holds harmless the Ingalls Memorial Library, its Library Board of Trustees and staff, the Town of Rindge and its officials for any and all liability which may arise from the use of the premises. All Town of Rindge and Library regulations must be strictly observed. Responsibility for observing all Meeting Room regulations is assumed by the person who signs this form.
Signature:_________________________________________ Date:___________________
Signature:_________________________________________ Date:___________________
(A meeting that the responsible or alternate cannot attend will be cancelled.)
Trained on Equipment: (Include date): ___________________________________________________________________________
Trained to Close Building: ________________________________________________________________________________________
Ingalls Memorial Library
203 Main Street, POB 224, Rindge, NH 03461
Phone: (603) 899-3303 Fax: (603) 899-5797
[email protected]
