Form Center

2. The auditorium and conference rooms are available during library hours and must be vacated 15 minutes before closing time. If requesting the auditorium, please return this form 2 weeks before the date of your meeting.
4. Name of your organization*
6. Title of your meeting or program*
8. Room requested
   -- Select One --Conference "Volpe" RoomAuditorium "Laconia Rotary Hall"
10. Date and Time requested*
    Date and Time requested Start Date

    Date and Time requested Start Time

    —

    Date and Time requested End Date

    Date and Time requested End Time
12. If any additional dates or times are needed, please list those here
14. How many people will be in attendance?*
16. Will refreshments be served (auditorium only)?
18. Equipment needed?

    1. Easel
    2. Podium
    3. Projector (auditorium only)
20. The person making this request/responsible for the program
22. Name*
23. Email Address*
25. Address
27. City
28. State
29. Zip Code
31. Phone Number*
33. The person signing this form is to be in attendance at the event and is responsible for the observance of the Laconia Public Library “Meeting Room Policy” statement. No date shall be confirmed until the Library returns a copy with an authorized signature approving the meeting.
35. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
37. Electronic Signature
39. Director's Approval
40. Date
    Date
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit Submit and Print

* indicates a required field