Community Room Signup

Name of Organization:
Responsible Party:
Email:
Phone:
Organization Address:
City:
State:
Zip:
Non-Profit:
Date of Meeting:
Reservation Start Time:
:
Reservation End Time:
:
Name and Subject of Meeting:
Room Arrangement Selected:
Approximate number of people attending event:
I have read the Community Room Policy and agree that my organization will be responsible for any damage to the facility, and any damage or loss of library equipment. The responsible party agrees to save and hold harmless the Houghton Lake Public Library, its appointed officials, employees, volunteers and/or all others working on behalf of the Houghton Lake Public Library from any and all claims for personal injury or property damage, arising from the use of this facility. The responsible party agrees the room will not be used for commercial purposes or for any financial gain.