As the person making this meeting room reservation, I acknowledge and accept responsibility for ensuring compliance with the following criteria, as indicated by my signature below.

As the person making this meeting room reservation, I acknowledge and accept responsibility for ensuring compliance with the following criteria, as indicated by my signature below.

Library Location

Applicant

Position of Group (if Applicable)

Name of Group

Primary Phone

Secondary Phone

Email

Mailing Address

Requested Reservation Date(s) and Times

Purpose of meeting

Estimated Attendance

Signature of Applicant

Date

Time

Submit