BASTROP PUBLIC LIBRARY
MEETING ROOM / CONFERENCE ROOM RESERVATION APPLICATION

Instructions: Please complete, print and bring this form with the required deposit in person to the Bastrop Public Library. Your contact person is responsible for following all of the requirements of the meeting room / conference room policy. Please read the entire policy page before completing this form. Your reservation will not be scheduled until the library receives this completed form and deposit.
Name of Individual filling
out application
Organization Name
Organization Address
Organization or contact
telephone number
   
Meeting Room * * $50 deposit required Conference Room  
Approximate number
of attendees
Meeting Date

Meeting Time
(Including setup
and cleanup)
Purpose of function

As the authorized representative of the above organization. I hereby apply for the use of the Lina S. Pressley Meeting Room or Billy and Clara Maynard Conference Room. of the Bastrop Public Library. My organization and I agree to follow all of the rules and procedures listed in the meeting room policy and understand that my organization or I will be responsible for paying any damages or losses, or clean-up expense that may result in our use of the facilitie

Signature ________________________________________________
Date _______________________
Title _______________________
Staff Information:

Approved:__________________________ Not Approved:___________________________

Reason not approved:_______________________________________________________

_________________________________________________________________________

$50.00 deposit attached and received by:_______________________________________

Library Director: ______________________________Date:____________________

Key # :___________________________________________________________________

Date picked up: _________________________Date returned:_______________________

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