COPIAH-JEFFERSON REGIONAL LIBRARY

BORROWER’S AGREEMENT FOR LIBRARY MEETING ROOM USAGE

Room reservation for after hour access or reservation by private individuals require an existing library membership in good established standing- registered for 90 days with no overdue fines, policy violations, or similar. Registration exceptions exist for government, non-profit, community, and similar organizations.

Library Card #__________________________________________________________________

Name/Organization______________________________________________________________

Purpose of Meeting______________________________________________________________

Reservation Date___________________________ Time________________________________

A potentially refundable deposit is required for after hour access.

_____$35 (after hour access only, no refreshments)                 _____$65 (refreshments)

Will anything be sold at this meeting or will anyone make a profit from this meeting. YES   NO

Employee Contact for Reservation___________________________________ Date___________

Reservation Approved by__________________________________________ Date___________

Completed by Patron when paying deposit, picking up key, or initial room use

I have read the meeting room policy before signing. I understand that any failure to follow library guidelines may result in a deposit forfeiture and/or prohibition against future room use.

Print Name_____________________________________________ Phone__________________

Signature______________________________________________ Date____________________

Completed by patron and staff when deposit is paid

*Staff, give the patron a copy of this form after both signatures have been obtained below.

Deposit Payment $____.00                     Forfeit Date ________________

Patron Signature_________________________________________Date___________________

Employee Signature______________________________________Date___________________

Completed by patron and staff when deposit is refunded or forfeited

*Staff, give the patron a copy of this form after both signatures have been obtained below.

Deposit Refunded $_____.00                                         Deposit Forfeited $_____.00

Patron Signature_______________________________________ Date____________________

Employee Signature_____________________________________Date__________________

WAIVER OF LIABILITY

• All groups/organizations shall indemnify, defend and hold harmless the Library, the City and County, its officers, agents, and employees from and against any and all claims, suit action of any kind arising and resulting or accruing from any negligent act, omission or error of the group/organization resulting in or relating to, injuries to body, life, limb, or property sustained in, about or upon the Library facilities there to, or arising from the use of the premises.
• All groups shall defend, at their sole cost and expense, any legal action, claim, or proceeding instituted by any person against the City and County as a result of any claim, suit or cause of action accruing during the term of this agreement for Library meeting facilities for injuries to body, life limb or property as set forth above.
• All groups/organizations shall hold the Library and City/County harmless from and against all judgment, orders, decrees, attorneys’ fees, costs, expenses and liabilities incurred in and about any such claim investigation or defense thereof, which may be entered, incurred or assessed as a result of the foregoing.

Print Name____________________________________________________ Date____________

Signature_____________________________________________________ Date_____________