Today's Date______________________

Group Name___________________________________________________________

Group Function__________________________________________________________

Contact person Name_______________________________________________

Contact Person Telephone________________Contact Person Email____________________

Contact Person Address__________________________________________________

Date Room Needed_______________________________________

Time Room Needed, From______________ to __________________

Briefly describe why you wish to use the room and the type of activities that will take place.
_______________________________________________________________________

______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Library furnishings and equipment you wish to use (indicate number)
_____________5 foot tables ______________Chairs ____________Large Coffee Pot

As per the Waterville Public Library, the room may not be used by political or religious groups. The library
reserves the right to deny use of the room to any group.

Use of the room must not conflict with or disrupt library services in any way.
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Library use only: Use Booked on Master Calendar_______  Initials ____________