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Riverdale Public Library has several meeting rooms that can be utilized by the community. We offer a safe, comfortable environment. Please print the following application and return it to the Library's Circulation Desk. Riverdale Public Library: Meeting Room Application Form Date of Application: ___________ Date Received: ___________ Staff Initials: ___________ Name of Applicant: ________________________________________________ Address: ________________________________________________________ Phone: _____________ Alternate Number: _____________ Fax: _____________ Email: ________________________________________ Organization: _____________________________________________________ Purpose of your organization: ________________________________________________________________ Profit: Yes/No Non-Profit: Yes/No Description of Program:_________________________________________________________ ________________________________________________________________ Dates Requested: ___________ Expected Attendance: ___________ Hours Requested (include set up & clean up): __________________ Insurance Carrier: __________________________________________________ Policy Number: ___________________________________________________ Do you plan to serve refreshments? (Alcohol is not permitted) Yes/No Do you plan to distribute literature? Yes/No If yes, please describe or provide a sample Name of Speaker: _________________________________________________ Deposit Received: ___________ Fee Received: ___________ Insurance Certificate Received: __________ Request Approved: ___________ Request Denied: __________ Date: ___________ Approved by President, Riverdale Public Library, Board of Trustees: ________________________________________________________________ Organization Notified about Board Decision: __________ Date: ___________ Initials:___________ Meeting Room Agreement Rental charges apply on to for-profit organizations. Rental charges are for each four (4) hour period or part thereof. A deposit against damages is due and payable at the time of reservation. If no damage occurs, and the room requires no additional clean up, this is fully refundable.
Conditions: Alcoholic beverages are not permitted. No advertisements of any event may be posted in the Library without prior verbal approval of the Director of the Riverdale Public Library. No admission fee may be charged for programs held in the Library's meetings rooms. Exceptions to any conditions can only be authorized by the Riverdale Public Library Board of Trustees. Availability: Meetings may be held only during the Library's normal hours of operation. Please verify hours with staff. Meetings are expected to end and the meeting space be cleared no later than fifteen (15) minutes prior to the Library closing. The Riverdale Public Library reserves the right to cancel or amend any reservation or length of reservation according to its discretion for reasons, including but not limited to, unsafe conditions or failure of necessary equipment, substitution of a revenue producing reservation for one which does not produce revenue, substitution of Library or Municipal activity for other meeting, improper use of the facilities on a prior occasion. ___________________________________________________________________ We (I) have read and agree to abide by the provisions and regulations of the Riverdale Public Library governing the use of the library's meeting rooms. We (I) further agree to indemnify and hold harmless both the Riverdale Public Library and the Borough of Riverdale from any and all losses and expenses arising out of the use of the library's meeting rooms. Name: __________________________ Date: _________________ Title: ________________________________
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