Meeting Room Reservation Request

×The Meeting Room may only be reserved one time per month, up to 3 months in advance.

Meeting Date (up to 3 months in advance)

Meeting Start Time

Meeting End Time (including clean up)

Number of Attendees (Up to 20.)

Our meeting room can only accommodate 20 people, and this can be tight. If you'd like to sit around the tables, we recommend 15 or less.

Do you need the kitchenette?

Yes

Is this meeting for a nonprofit/community group?

Yes

Organization Name

Organization Email

Organization Phone

What community does the organization serve?

State/Province

No sales or collection of personal data allowed while using our meeting room. A fee of $10/hour for the Meeting Room and $20/hour for the Room + Kitchenette applies. Payable via cash or check.

Name

Phone

Address

City/Town

State/Province

ZIP/Postal Code

Do we have permission to give your contact information to the public if someone inquires about your event?

Yes

Meeting Room Agreement: Sign below after checking boxes.

I have read and agree to be bound by the Mount Horeb Public Library Meeting Room Policy

Read the policy here.

I will leave the room clean and arranged as I found it.

I understand reserving the Meeting Room does not mean my event is a library sponsored event and/or endorsed event and that I must publish the following disclaimer text in all marketing materials: “This program is not a library sponsored event.”

I understand the Meeting Room is not available for the following purposes 1. Monetary solicitation, admission fee, or donation by any entity other than the library or the Friends of the Library. 2. Programs involving the sale, advertising, promotion of commercial products or services, including the compilation of mailing lists for future solicitation, by any entity other than the library or pre-approved entities for short-term classes, institutes, discussion groups or forums involving small fees. 3. Programs that would interfere with the library’s operation by causing excessive noise, a safety hazard, or security risk.

I understand alcohol is not allowed anywhere on library grounds, including in the Meeting Room.

I will notify the Library 24 hours before cancellation.

I understand failure to comply with the Library’s policies may result in the loss of use of the meeting room.

I understand this request becomes a reservation only after the Library has confirmed it.

Sign Below:

Signature

Sign above

Status message

Status message