You are here:  Community RoomRegistration Form   March 23, 2017  

    Community Room Reservation


(Please print this form, complete the upper half and bring it to the Library to complete your reservation request.)

Contact Name:_____________________________________________________________________________________
Organization Name:_________________________________________________________________________________
City:____________________________________________ State: IN       Zip Code:_________________________
Phone:__________________________________________ Email:______________________________________
Event Description:__________________________________________________________________________________
Requested event date & time:_________________________________________________________________________
I have read and understand the rules and guidelines associated with use of the Community Room at the    
Sheridan Public Library. ___________________________________________________ Date:_____________________

  (Payment - checks payable to SHERIDAN PUBLIC LIBRARY - must accompany this completed reservation form unless other arrangements are made.)

(Refunds  - if applicable - will be made upon request to the bookkeeper and may take up to 3 business days to accomplish.)    
  (This portion to be completed by Library personnel only)        
Name of employee taking the reservation:        
Damage Deposit (All groups) $75.00 Refundable*   $75.00
  For-profit Groups (Usage Fee) $100.00 Non-refundable - Includes kitchen use    
  Other Groups (Usage Fee) $75.00 Non-refundable - Includes  kitchen use    
  Not-for-profit Groups (w/o kitchen use) N/C DOES NOT include kitchen use   XXXX
  Not-for-profit Groups (with Kitchen Use) $10.00 Non-refundable - Includes kitchen use    
  Podium & Sound System N/C     XXXX
  Flip Charts & Cady N/C     XXXX
  Laptop Computer $10.00 Refundable*    
  Computer Projector $10.00 Refundable*    
  Utility Cart N/C     XXXX
  Dry Erase/Flip Chart Markers $1.00 Non-refundable    
(*Refundable fees dependent on damages incurred.)   Total Advance Payment Due:    
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