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Today's Date: <br />Name of Organization: <br />Name of Responsible Person in Attendance: <br />Title /Position: <br />Address of Organization or Responsible Person: <br />Street <br />City /State <br />Zip Code <br />Telephone No: E -mail address: <br />Date of Meeting: <br />setup and cleanup) <br />66 <br />Time of Meeting: begin: end: (include <br />Expected Attendance: <br />32 Auditorium Style <br />NOTE: 1s Floor Room Optimum Seating: Classroom Style <br />Purpose of Meeting: <br />A/V equipment needed? No: Yes: What kind? <br />NOTE: The responsible party is required to be checked -out on the A/V equipment prior to the meeting. Please make <br />arrangements by calling 303 335 -4815. <br />Food or beverages served? No: Yes: What kind? <br />NOTE: Boxed lunches and light refreshments (beverages and snacks) <br />dve are not permitted in the Meeting Room (Hawaiian Punch, <br />are permitted. Beverages <br />grape juice, grape soda, etc.). <br />room, the user, on behalf <br />the City of Louisville <br />and demands resulting <br />and invitees. <br />PAGE, AND I WILL <br />THEY ARE FOLLOWED. <br />with red or purple <br />of itself and its <br />and the Louisville <br />from the use of <br />BE THE PERSON <br />In consideration of being permitted to use the Library meeting <br />members and invitees, hereby releases and agrees to indemnify <br />Public Library from and against any and all liability, claims, <br />such meeting room by the user, its members, <br />I HAVE READ AND ACCEPT THE RULES ON THE ATTACHED <br />HELD RESPONSIBLE TO SEE THAT <br />X <br />Signature Date <br />FOR LIBRARY USE ONLY] <br />X <br />Received by Date <br />X <br />ASSIGNED LOCATION <br />1st Floor Meeting Room <br />2nd Floor Board Room <br />Confirmed and Scheduled by Date <br />Louisville Public Library <br />Meeting Room Policy <br />Meeting Room Policy <br />Page 3 of 3 <br />