910 Main Street Plain, WI 53577 ~ 608-546-4201 ~ www.kraemerlibrary.org
Meeting Date:__________________ Meeting Time: Begin__________ End:___________
(include setup & cleanup)
Number of persons attending (estimate): __________ (Maximum room capacity is 125 seated)
Contact: The person responsible for setup, cleanup and key checkout if necessary.
Name:______________________________________ Phone:_______________________
Address:______________________________________ Email:______________________
Name of organization:_______________________________________________________
Purpose of meeting:_________________________________________________________
Please check the items you wish to use:
| Kitchen_______ |
Projection screen_______ | Whiteboard/markers_______ |
| Flip chart/easel_______ | TV/DVD/VCR_______ | Microphone_______ |
_____ I have read and agree to the terms of the Kraemer Library Community Room Policy.
_____ I understand that I am responsible for the use and care of the room during the event.
_____ I will leave the room clean and arranged as found and will complete the room checklist.
_____ I will not post materials on the meeting room walls.
_____ Tobacco and alcoholic beverages will not be permitted at my meeting/event.
_____ I agree to utilize street and non-library parking so as not to inconvenience library users.
_____ My meeting/event will be conducted so as not to disturb others using the library.
My organization/group will be responsible for the repair or replacement of any damaged or missing items, and for any damage to the facility or any extra cleaning that is required.
Signature ________________________________________________ Date ________________
Staff Signature _____________________________ Key checked out _____ Key returned _____