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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.

Meeting Room

Capacity

Rental Charge

Deposit

Upper

12

$50.00

$25.00

Lower

30

$75.00

$25.00

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: ________________________________