Application to Reserve a Library Room

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Complete this form to request a Library Room. Completion of this form does not guarantee your reservation.

Name of Corporation/Organization/Individual
*

Street Address, City, State, Zip
*

Phone Number
*

Email address
*

Purpose of the use:
*

Date of requested use
*

YYYY

Time of requested use start
*

Time

Time of requested use end
*

Time

Room Requests *

Meeting Room (up to 10 people)

Program Room (up to 40 people)

Anticipated number attending
*

By completing this Application, the Corporation, Organization or Individual (“User”) identified above acknowledges that it has read and agrees to the terms of the Library Room Use Policy. The User also agrees to indemnify and hold harmless the Benzie Shores District Library, its agents, employees, officers, and representatives, from all suits, actions, claims, or demands of any character or nature arising out of or brought on account of any injuries or damages sustained by any person as a consequence or result of the use of the Library’s Room, its furnishings or equipment by the User or any person attending the User's meeting. The User agrees to obtain all licenses, insurance coverage, and permits required by law required in connection with the User’s use of the Library’s Rooms. The User also agrees to pay for any damage caused by its use of the Library Room. The User agrees to comply with all Michigan laws. If signing on behalf of a Corporation or Organization, the person signing this Application agrees that they have authority to sign on behalf of the Corporation or Organization. *

I agree

I disagree

Name of Responsible Person
*

Submit

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