Community Room Application – Otto Bruyns Public Library of Northfield

Ensure you review the Community Room Policy before submitting your application.

Please use the online form below or print the Community Room Application and bring it to the library.

Name of Organization*

Name of Organization President*

Address of Organization President*

Email*

Website of Organization

Telephone Number (Cell, Work, Home)*

Name of Individual Applying*

Address of Individual Applying*

Email of Individual Applying*

Telephone Number (Cell, Work, Home)*

Type and Purpose of Organization*

Purpose of Meeting or Program*

Date(s) of Meeting and Time. Please allow ½ hour lead time for set up, and ½ hour for breakdown.*

Size of Anticipated Audience*

Use of Meeting Room: Hold Harmless

Each organization agrees to Indemnify and Hold Harmless the City of Northfield and the Otto
Bruyns Public Library, their agents and employees, from and against all claims, damages, losses and expenses, including reasonable attorney’s fees arising out of the utilization of the Meeting Room with the Otto Bruyns Public Library, including claims as to bodily injury, illness, death or property damage.

It is understood that the City of Northfield and the Otto Bruyns Public Library assume no responsibility whatever for any property placed in the Library in connection with a meeting or exhibit; that the City of Northfield and the Otto Bruyns Public Library are hereby expressly released and discharged from any and all liability for any loss, injury or damage to persons or property which may be sustained by reason of Meeting Room attendance.

We have read the Meeting Room Policy and this statement and agree to abide by the Library's terms and regulations governing the public Meeting Room.

Date of Application*

Officer Signature (Please type your full name)

Name of Organization*