TCPL PROGRAM ROOM RESERVATION & COMMITMENT FORM

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To avoid reservation cancellation, this form must be completed and submitted no later than seven (7) days prior to your scheduled event.

You will receive a phone call or email from the library confirming your reservation.

Name *

Organization *

Email *

Phone Number

Are you reserving the meeting space as a non-profit? *

Yes

Not Sure

Time Start & End:

Space available during library operating hours ONLY. The hours are:
Monday - Thursday, 8:00 AM - 6:30 PM
Friday 8:00 AM - 4:30 PM

Saturday, 9:00 AM - 2:30 PM

SEASONAL HOURS MAY APPLY

Please type your requested date & time below:

Alternate date(s):

Requested dates and time might not be guaranteed, so please supply alternate dates when possible.

Please type your requested date & time below:

Mailing Address, City, State, & Zip Code:
*

Please Provide a Detailed Description of the Purpose of Your Group's Meeting:

The following activities ARE NOT ALLOWED in library meeting space: Sales of any kind; product or service endorsement; religious services/proselytizing; charging for attendance or materials; recruitment; fund-raising; parties or family events; political meetings; rallies; or press conference. Music and alcoholic beverages are not allowed. This is not a full, comprehensive list.

Meeting Room Terms:

1) Please complete the requested information below. Review the terms and conditions for use and sign the commitment form at the end of this application.

2) To avoid reservation cancellation, this form must be completed and submitted no later than seven (7) days prior to your scheduled event. By completing this form, you will also receive an E-mail confirmation or phone call from the TCPL for any scheduled meetings. This submitted document will be relied upon in the event there are any sort of discrepancy.

3) Meeting rooms are provided FREE OF CHARGE FOR NON-PROFIT ORGANIZATIONS ONLY.

4) The library does not provide technical assistance.

5) The organization/person in charge is responsible for setting-up the room and returning it back to its original condition.

6) Supplies will be provided by the organization using the room. No TCPL supplies will be used by the organization.

I Agree to the above

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Number of people expected:
*

Meeting Room Set-Up: *

Does your meeting room require tables & chairs? If so, please type your number of tables and chairs below.

Will food and/or beverages be served?
*

Yes

Commitments:

By execution below, the undersigned personally and on behalf of any group/organization/individual (the "Group"), expressly agrees to strictly comply with the following terms and conditions governing use of the requested meeting room and Library premises and further understands and acknowledges that he/she and/or/the Group shall be liable to the Tipton County Public Library for any failure to comply with these terms and conditions;

1) The Groups shall use and occupy the room only in the manner consistent with the use or activity described previously.

2) The Group shall use and occupy the room in a safe, careful and respectful manner, so as not to injure any persons or damage any property in, on or near the room or surrounding Library premises or disrupt other group meetings.

3) The Group shall leave the room as they found it and will be held responsible for any damage incurred by the group or its associates.

4) Immediately upon demand, the Group shall pay the cost of any and all damage to the library premises, of loss or theft of property done or caused by the Group of any of its officers, agents, employees, guests or invitees.

5) The Group SHALL NOT charge attendees for admission, food or any other products, services, or materials.

I, the undersigned, further understand and acknowledge that the Library is relying on the representations and commitments contained herein and in accepting this reservation and in the event the undersigned is without the necessary authority to bind the Group to the terms and conditions set forth herein he/she shall be personally liable to the Library for all obligations and duties of the Group specified herein.

Please type your name below:

Today's Date: *

YYYY

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