(*required fields )

Name of Organization:

Please check which applies:*
a) Not For Profit                 For Profit
b) Not open to the public Open to the public

Purpose of the Meeting:*

Full Name: *

Phone Number:

Address:

Email Address: *

Estimated number if people attending:*

Date Requested	Start Time	End Time	Meeting Room
			Select... Cottonwood Room Willow Room Sage Room Sunflower Room Windflower Room
			Select... Cottonwood Room Willow Room Sage Room Sunflower Room Windflower Room
			Select... Cottonwood Room Willow Room Sage Room Sunflower Room Windflower Room

Equipment/Services Needed

Fees Owed: $

I, the undersigned, on behalf of the above organization, have read and received the meeting room policies outlined in the Meeting Room Brochure (or Meeting Room Webpage). I agree to inform the participants of all the regulations governing the use of the meeting rooms, to abide by these regulations, to accept full liability for any damage to facilities or equipment, and to confine the organization's activites to the assigned room. I understand the room must be left in a clean and orderly condition. I also understand that the library reserves the right to revoke meeting room privileges at any time. Further, I agree that the Laramie County Library System can share with interested parties information about this meeting and the contact person and organization.

Check here to indicate that you and your group will comply with library policies regarding meeting room use:*