Please read through our Community Room Policy before submitting a rental form. The community room should be reserved, and the form below completed, at least 48 hours in advance of the event. Non-library events may not be scheduled more than two months in advance of the event. Deposits must be made at the time of scheduling.
Library Community Room Location (circle one):
Pemberville Stony Ridge Luckey
Name of Group: _________________________________________________
Type of Group/ Purpose of Event: _____________________________________
Date of Event: ______________ Time: _______________to _____________
Representative of Group: _________________________________________________
Representative’s Home Address:____________________________________________
_______________________________________________________________________
Representative’s Phone Number: ____________________________________________
Library Staff Use Only
$40 Fee Required: YES / NO $40 Fee Received on (date): ______________
Staff Initials: ______________
$40 Deposit Required: YES / NO $40 Fee Received on (date): ___________
Staff Initials: ______________
Community Room Key Picked Up (if applicable) on (date): _______________________
Staff Initials: ______________