MEETING ROOM APPLICATION   Large Room _____
Garden City Public Library
   Small Room _____
60 Seventh Street
      
Garden City, New York 11530
      

The __________________________________________________ requests permission to use a meeting room on

______________,
______________.
 The meeting to begin at ________ (a.m./p.m.) and to end at ________ (a.m./p.m.)
Day
Date
Expected Attendance ________.  Refreshments to be served? Yes____ No____.
Piano? Yes____ No____   Film Projector? Yes____ No____   Video Projector? Yes____ No____
(Fees must be paid in advance.)

 

________________________________________ ___________________________________________
Topic of / Title of Program Speaker's Name
________________________________________ ___________________________________________
Name of Individual Filing Application Office in Organization
________________________________________ ___________________________________________
Address Telephone Number
________________________________________ ________________________ __________________
Name of President Address Telephone Number

Reservations for a series of meetings:
Day Date Hour Topic Speaker
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

The organization agrees to abide by the Regulations for Meeting Rooms and to hold harmless the Library or Board of Library Trustees for any loss, damage or injury by reason of any act of negligence on the part of the organization, its members, officers, agents, or any person using the premises on the invitation or permission of the organization.

Signed _______________________________________________________________________________

Office in Organization ___________________________________________________________________

Date of Application _____________________________________________________________________

Please complete and return to Library Director with Notice of Fire Department Regulation.
Approval/Disapproval will be found on reverse side.