Logan County Libraries, Knowlton Library Goodrich Community Room Application Organization or Title of Meeting: Meeting Date: Meeting Start Time: Meeting End Time: The standard time allowed to set up and tear down is 30 minutes before and 30 minutes after your event. If you require additional time, please state here: Standard time allowed to set up/tear down is 30 minutes before and 30 minutes after your event. If you need more time, please state here: Person Responsible: Name and Title of Person Responsible Email Address Phone Number Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Purpose of Meeting: Estimated Attendance (max room capacity is 40): - Select -1-1011-2021-3031-40 Will you be serving refreshments? Yes No Will you be using latex balloons? Yes No Please Check: Public Event Private Event Post my event/name/contact info on the library's online calendar. Do NOT post my event on the library's online calendar. My organizatoin IS a non-profit organization under IRS Code 501(c)(3) I request to use the following Library equipment: Smart TV with HDMI cables for connecting your device (staff will assist with setting up if needed) DVD player (staff will assist with setting up if needed) Laptops (4 available to check out at Information Desk) Donations and Fees: The Library will accept monetary donations for the use of the Community Room for private individuals using the room for personal private events, who do not fall under the IRS Code 501(c)(3). There will be no charge for non-profit 501(c)(3) organizations. A $75.00 usage fee will be charged to for-profit organizations, companies, or individuals. Acceptance of Policy The meeting room is provided as a community service by the Logan County Libraries. The Library neither sponsors nor endorses events nor the presenting individual or organization. I have read the policy and agree to abide by the Goodrich Community Room rules and regulations. The undersigned assumes all and exclusive responsibility for the preservation of the order and the sole and exclusive liability for any injury of persons, and damage to, or loss of property that may result from this use, and for the due observance of all regulations of the Board of Trustees of the Logan County Libraries and acknowledges receipt of the rules and regulations regarding the use of the Goodrich Community Room. I Accept Date of Application: CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Leave this field blank
