Wufoo

Applicant Name: * Title First Last Suffix
Must be 18 or older and must also be in attendance at the meeting in order to reserve the room.
PINES Library Card Number: *
Must be between 14 and 14 digits. Currently Used: 0 digits.

Please enter your library card number without spaces. This is a 14-digit number. You must have a valid PINES Library Card in order to reserve the room. In addition, your card account must be in good standing as any damage caused by the user's meeting will result in charges being placed on the user's account.
Email *

So that we may contact you for follow up information we also require your email address.
Date of Meeting: * MM / DD / YYYY
Subject to availability and is on a first-come, first-serve basis and may be reserved up to one month in advance of the scheduled date. Due to unforeseen events, the Library reserves the right to cancel any pre-scheduled meeting. This will not be done lightly but it is inevitable that complications will arise from time to time.
Meeting Start Time: * HH : MM : SS AM/PM
There are presently no time restrictions or limitations on the use of the room. However, the meeting room will close twenty minutes prior to the closing of the Library facility.
Meeting End Time: * HH : MM : SS AM/PM
There are presently no time restrictions or limitations on the use of the room. However, as others will also need to schedule to use the room, please approximate when you will be finished using the room.
Organization/Group Name: *

Please include the name of the organization/group that will be using the room. For additional information on "who may not use the library meeting room" please refer to the Meeting Room Policy.
Number of People Attending: *
1-4 5-8 9-12

Please note that the number of attendees shall be limited to the maximum capacity as determined by the Fire Department. Seating is available to no more than twelve (12) individuals.
Notes/Comments: (please also include your phone number)

If there are any additional details that you would like to include, please do so now.
Disclaimer

By filling out and submitting this form the applicant understands that while there is no charge for the use of the meeting room, you are consenting to Library Administration contacting you in order to obtain the additional information needed to complete the reservation process. Submitting this form also serves as a policy agreement and affirms that you have read over the Meeting Room Policy and agree to abide by all the rules contained therein. I acknowledge that ANY damage done to the room may result in charges being applied to my account and result in loss of future Meeting Room privileges. Not showing up for a confirmed meeting time may also result in the loss of future Meeting Room privileges. For more information please contact Barry Reese at 478-452-0677 ext. 25.
Do Not Fill This Out

Wufoo

Disclaimer