| Name of Organization |
|
| Organization Phone |
|
| Organization Address |
|
| City
State
Zip
|
| Purpose/Type of Organization |
(i.e. educational, recreational etc.) |
| Is this organization non-profit? |
|
|
Is this organization non-political? |
|
| Purpose of Meeting |
|
| Date Room Requested |
|
| Branch Requested |
|
|
If you selected the Covington location please note the room. |
| Time |
(from) |
|
(to)
|
|
| (Please allow time for set up and clean up. Meeting room must be vacated fifteen minutes prior to Library closing. Library hours are M-Th 9AM - 9PM, Friday 9AM - 6PM (Erlanger & Durr open until 9PM), Sat 10AM - 5PM, Sun 1PM - 5PM) |
| Is the meeting open to the public |
|
| Estimated attendance |
|
| Equipment necessary (i.e. chairs, tables, etc.) |
|
| Room Setup |
|
| Will refreshments be served? |
|
| Name of authorized representative |
|
| Title |
|
| Representative address |
|
| City
State
Zip
|
| Representative phone |
|
| Representative work phone |
|
| Representative email address |
|
| |
By Clicking the Submit Button you agree to the following:
In consideration for the use of the meeting room, I hereby agree as follows:
- I certify that I am an officer or an authorized representative of the above named organization and that I have authority to reserve the meeting room. I hereby certify that the statements made above are true to the best of my knowledge.
- I agree that I will be responsible for any damage to the library’s premises, furniture or equipment as a result of the organization’s use of the meeting room and I agree to pay for such damages assessed by the Library.
- I have read and agree to abide by and uphold the Library’s Meeting Room Use Policy. Furthermore, I certify that the organization’s use of the meeting room is in compliance with such policy. I understand that failure to follow the Meeting Room Use Policy may result in loss of meeting room privileges.
- I agree to indemnify and hold harmless the Kenton County Public Library, the Board of Trustees, the Library Director, their agents and employees from and against any and all loss, cost, expense, liability or damages caused by the organization, its officers and agents as a result of its use of the meeting room.
- I understand that the meeting room is not available to me until this application has been approved by the Library.
|
