APPLICATION FOR USE OF COMMUNITY ROOM AND/OR MEETING ROOM
Rooms are available to nonprofit organizations and community groups for programs that are cultural, educational, recreational or civic in nature
Organization’s name: *
Your answer
Is this a nonprofit organization? *
Address *
Your answer
City, State, Zip *
Your answer
Phone *
Your answer
e-mail *
Your answer
Contact person for organization and phone *
Your answer
Contact person for this event and phone *
Your answer
Room(s) Requested *
Note: Per the Norwich Fire Department, the maximum capacity for the Community Room is 128 people, and the maximum capacity for the Meeting Room is 18 people.
Required
COMMUNITY ROOM ONLY: Equipment to be used (DVD player/projector/screen)
THE GROUP USING THE ROOM IS RESPONSIBLE FOR EQUIPMENT DAMAGE OR LOSS.
Date(s) Requested
From
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YYYY
Time
:
To
MM
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DD
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YYYY
Time
:
If multiple dates and times are required please enter them below
Your answer
The applicant hereby states that he/she is empowered to act for the group requesting use of Otis Library’s meeting rooms and agrees to faithfully abide by all Otis Library regulations as outlined in the Policy for Use of Meeting Rooms.
Applicant Name
Your answer
Date
MM
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DD
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YYYY
Please note: This reservation is not final until you receive a confirmation email from Otis Library. Any questions please contact Mary Ellen Christina (860) 889-2365 ext 124.
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