NOTTAWA TOWNSHIP LIBRARY - APPLICATION TO USE MEETING ROOMS
Date of request _______________________
Date of use __________________________ Time of use ________________________
Name of Corporation/Organization/Individual __________________________________
________________________________________________________________________
Street address ____________________________________________________________
City and State ________________________________ Zip code ____________________
Telephone ___________________________________
Purpose of the use:________________________________________________________
________________________________________________________________________
Room Requested: Main Meeting Room (capacity 30)_____
Tutor Room (capacity 6 )_____
Pavilion (capacity 40 ) _______
Number attending ________ Kitchen Use Approved:_________
Number of Chairs: _______ Number of Tables: ____________
By signing this Application, the Corporation, Organization or Individual (“User”) identified above acknowledges that it has read and agrees to the terms of the Meeting Room Use Policy. The User also agrees to indemnify and hold harmless the Nottawa Township Library, its agents, employees, officers, and representatives, from all suits, actions, claims, or demands of any character or nature arising out of or brought on account of any injuries or damages sustained by any person as a consequence or result of the use of the Meeting Room, its furnishings or equipment by the User or any person attending the User's meeting. The User also agrees to pay for any damage caused by its use of the Meeting Room. If signing on behalf of a Corporation or Organization, the person signing this Application agrees that he/she has authority to sign on behalf of the Corporation or Organization.
Name of responsible person ______________________________________________
Signature of responsible person ____________________________________________
Approved by staff___________________________________ Date ____________________