MEETING ROOM RESERVATION FORM - MAY BE DUPLICATED

GROTON PUBLIC LIBRARY
99 Main Street, Groton, MA 01450
Phone 978-448-1167, Fax 978-448-1169

Reservation Date: _____________________
Time: From _____: _____AM/PM to _____:______AM/PM
(Meetings must be held when library is open:
Tues & Thurs: 10am-9pm, Wed & Fri:10am-5pm, Sat: 10am-3pm)

Name of Organization/Group: ___________________________________
Telephone: ______________ Fax:________________ Email:______________

Representative/Contact: _______________________________________

Mailing Address: _________________________________________________

MEETING ROOM SPACE AVAILABLE (CIRCLE ONE)

Sibley Hall

Community Room

Conference Room

Quiet Study Room

Seats 50 w/tables, 75 without tables

Seats 15 with or without tables

Seats 6 with table

Seats 1-3 with table

Number of people using room:_________ number of tables:_____

If special seating arrangements are required, please explain here: ________________________________________________________________
________________________________________________________________
Having read the Meeting Room Use Regulations, my group agrees to abide by said policies and the undersigned agrees to be personally responsible for any infractions thereof and to assume all responsibilities indicated in the regulations.

Signature: _________________________________________________
Name: (please print)__________________________________________
Address:_________________________________Phone:____________

Approved by: ______________________ Date:__________________

Approved:4/26/01 by The Board of Trustees