Meeting Room Application

If you are interested in reserving meeting room space at Woods Memorial Library, please print and complete this form. Upon completion of this application, you may submit the form for consideration by mail, in person, or by fax to Woods Memorial Library. Should you have questions, or would like to follow up on an application you submitted, you may call us at 978-355-2533.

By mail: Woods Memorial Library | PO Box 489 | Barre, MA 01005
In person: Woods Memorial Library | 19 Pleasant Street | Barre, MA 01005
By fax: 978-355-2511

Name of Organization/Group: ________________________________________________________

Mailing Address of Group/Individual: __________________________________________________

Contact Person: ____________________________________________________________________

Telephone: ________________________________________________________________________

Purpose of the Meeting/Event: ______________________________________________________

Meeting Room Preference:	(Circle One)
Carroll-Healy Room Seats 10	Multi-Purpose Room Seats 25	Allen Hall Seats 100

PLEASE NOTE: Approval of an application for the use of Allen Hall is subject to the directors of the Barre Library Association, not the library director or staff. A Barre Library Association member, the library director, or a library staff person must be available to monitor the meeting or event. Applicants will be contacted as soon as possible by a member of the board with a decision.

Reservation Date: ____________________________________________________

Reservation Time: FROM ______________ am/pm TO _______________ am/pm

PLEASE NOTE: Woods Memorial Library is open Tues. & Thurs. 10 am to 8 pm, Wed. 2 pm to 8 pm, Fri. 2 pm to 6 pm and Sat. 10 am to 2 pm. The meeting/event must take place within these hours. If this is a special event and circumstances require that the event extend beyond the normal operating hours of the library, a waiver is needed, please provide the details below. Approval of this request will be granted based on staff availability to monitor the building.

Because of the following reason(s), the event must extend beyond the normal operating hours of the library:

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________.

Having read the Meeting Room Policy, my group agrees to abide by said policy and the undersigned agrees to be personally responsible for any infractions thereof and to assume all responsibilities indicated in the regulations.

Signature: ________________________________________________________

Date: ____________________________________________________________

FOR LIBRARY / BARRE LIBRARY ASSOCIATION USE ONLY

Approved by: _____________________________________________________

Date: ____________________________________________________________