Application for use of:

THE POLLY AND FRANK CALHOUN COMMUNITY ROOM

Reservations may be made for single or multiple meetings with the understanding that if the Community Room is needed for library use, a 30-day notice of preemption will be given and accommodations will be made. Reapplication is required when there is a change in use or when a regular private user puts on a public program. The Library will notify applicants of closings because of inclement weather. The applicant will notify his constituents of the closing. The applicant agrees to notify the Library of any cancellations or changes in plans for scheduled meetings.

Meeting date(s) and hours (including setup & cleanup)

______________________________________________

Name of individual or organization

_______________________________________________


Non-profit______ or for-profit______ (for-profits must submit insurance certificate)

President (or responsible person)

____________________________________________________


Name of applicant _____________________________

Phone No. ________________________________________

Address_________________________________________

_____________________________Zip____________

Purpose of the meeting(s)

__________________________________________________

Is this a private meeting?____________Or public program?______________

Amount of admission charge (if applicable)________________________

or amount of donation requested?___________________________________


Title of public program

________________________________________________


Name(s) of speaker(s) or performer(s)

_______________________________________________


Will refreshments be served? _______________________ (No alcohol permitted)



Public events will be entered on the library calendar. For meetings held when the Library is closed, the applicant must obtain instructions and a key from the librarian


HOURS: Mon. 12:30-5:30; Wed. 12:30-8:00; Thurs. 12:30-5:30; Fri. 9:00-5:30; Sat. 9:00-1:00.


LIBRARY CLOSED ON MAJOR HOLIDAYS


Suggested donation $25 for non-profits; $50 fee for for-profits. The insurance certificate required for for-profits must be received prior to the meeting date.


Any individual or group that uses the Meeting Room pursuant to these rules and regulations agrees to indemnify and to hold harmless the Cornwall Free Library, its Board of Trustees, and its employees from any and all claims, actions, causes of action of any kind which may arise out of use of the meeting room by such individual or group.


I agree to the conditions outlined above

________________________________________Date________


Approved by________________________________________________(Library Director)

Date_______________