Request for Use of Library Facilities
51 N. 5th Street Hudson, NY 12534 518-828-1792 x101 info@hudsonarealibrary.org
Email address *
Name of Individual or Organization Placing Request *
Organization name will be listed in the Library's public calendar.
Your answer
Title of Activity/Event *
Title will be listed in the Library's public calendar.
Your answer
Summary of Activity/Event *
Summary will be listed in the Library's public calendar.
Your answer
Is this event/meeting free and open to the public? *
Note: If the event/meeting is not free and open to the public, a space fee will be charged
Required
Date and Time of Activity/Event *
Please make your request at least one week, but no more than three months, in advance.
MM
/
DD
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YYYY
Time
:
End Time of Event *
MM
/
DD
Time
:
Any Additional Time for Setup and Clean Up
Your answer
Expected Attendance *
Your answer
Preferred Activity/Event Location *
Number of Chairs Desired *
Your answer
Number of Tables Desired *
Your answer
Other Equipment Requests
Your answer
It is understood that the undersigned will be personally responsible to see that all regulations of the Board of Trustees are
observed and that the group or organization will be responsible for damage resulting from misuse of the facilities.
Name of Person Responsible (digital signature) *
Your answer
Phone Number(s) of Person Responsible
Please list one or more phone numbers that we can use to reach you.
Your answer
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