Library Visit Request Form
Would you like to bring your group to a JMRL branch? Are you having an event that you'd like to invite JMRL to participate in? Fill out this form, and a JMRL staff member will respond to your request. If you have further questions, contact programmingcommittee@jmrl.org.
Sign in to Google to save your progress. Learn more
Name (first and last) *
Email Address *
Group Name *
Age Group *
Estimated number in group:
 *
Maximum group size 25 with adequate adult supervision.
Date requested for your visit (first choice):
 *
Please request dates with at least 2 weeks notice. PLEASE NOTE: You will receive confirmation of your date from a staff  member.
MM
/
DD
/
YYYY
Date requested for your visit (second choice):
 *
In case we cannot accommodate your first choice for your visit, please provide a secondary date that may work. PLEASE NOTE: You will receive confirmation of your date from a staff  member.
MM
/
DD
/
YYYY
Visit location:
 *
If you are requesting JMRL staff to visit your location, please provide the name and address of your location under "Other"
I would like to request:
Comments:
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This form was created inside of Jefferson-Madison Regional-Library.