Fredonia Public Library Lafferty Community Room Use Agreement
* Required
Name of Group or Individual
*
Your answer
Contact Person
*
Your answer
Address
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Purpose
*
Your answer
We/I would like to use the Community Room on (Date):
*
MM
/
DD
/
YYYY
From (Beginning Time):
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Allow yourself time to set up the room.
Time
:
AM
PM
Until (Ending Time)
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Give yourself plenty of time to cleanup.
Time
:
AM
PM
Media Rentals:
*
Please check any of the following if you will need them. Each Media Rental asks a $5.00 donation paid in advance.
TV/VCR
Overhead Projector
Digital Projector
None
Required
Responsibilities:
*
Please check that you understand the following.
We/I will be responsible for picking up a key, if necessary, when the Library is open.
We/I will return the key in the Book Drop if the Library is not open.
We/I will be responsible for all damage incurred.
We/I will turn off all lights (including hall lights)
We/I will make certain the outer door is locked upon leaving.
We/I will not charge admission of take an offering except as a donation to the Library.
Required
I have read the Rex Lafferty Community Room Use Policy and agree to abide by it.
*
Please provide your name as an electronic signature and date.
Your answer
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