Meeting Room Request -

Name of Person Completing Application (Responsible Party) *

First

Last

Phone Number *

(e.g. 334-793-9767)

Email Address *

Address *

(e.g. 445 N Oates St., Dothan, AL 36303)

Is the meeting Governmental or Educational? *

Yes
No

Facility Requested *

Main Library Board Room (Capacity 15) - $25.00
Main Library Community Room (Capacity 100) - $75.00
Westgate Branch Community Room (Capacity 50) - $50.00

Fees listed above are for two-hour time slots. Additional hours can be reserved at the following rates:
Main Library Board Room: $25.00 per additional hour
Main Library Community Room: $75.00 per additional hour
Westgate Branch Community Room: $50.00 per additional hour

Does your request span multiple dates? *

Yes
No

Date Requested *

(e.g. 01/01/2020 or 01/01/2020 - 01/03/2020)

Time Requested *

(e.g. 11:00 am - 1:00 pm)

Arrival Time *

Please set arrival times to allow for room setup.

Meeting Start Time *

The time you intend to begin your meeting.

Finish Time *

Please set finish times to allow for room cleanup.

Name of Organization

Not Required. Please enter the name of your organization if applicable.

Organization Website

Not Required. Please enter your organization's website if applicable.

Organization Address

Not Required. Please enter the street address of your organization if applicable.
(e.g. 445 N Oates St., Dothan, AL 36303)

What is the mission or purpose of the organization?

Not Required. What does your organization do or provide?

Is your organization non-profit?

Yes
No

Not Required. Please select your organization's non-profit status if applicable.

If your organization is non-profit, please provide the Tax Exempt #.

What is the purpose of the meeting? *

What do you intend to do during your reserved time?

What activities will take place at the meeting? *

(e.g. Presentations, Eating, Drinking, Painting, Knitting...)

How many people will attend the meeting? *

Please use your upper estimate, and understand room capacity restrictions.

What furnishings or equipment will you use? *

(e.g. Tables, Chairs, Projector, Sink...)

Will you serve refreshments? *

Yes
No

A $25.00 cleaning fee is charged if food or beverages are served.

If yes, please describe them.

(e.g. Soda, Pizza, Cheese Plates, Puttanesca...)

Meeting Room Policy Agreement *

I agree that I have read the Meeting Room Policies for the Dothan Houston County Library System and will ensure that my organization complies with them. I understand that confirmation and acceptance of this application is subject to review by the Library Director.

Reservation Period *

I understand that the earliest booking available for any DHCLS meeting room is 60 days, and that meeting rooms are limited to 4 reservations within a 3 month period.

Right to Deny Use or Cancel *

I understand that the library reserves the right to deny or cancel use of the meeting rooms to anyone for any reason.

Meeting Room Request

Friends of the Library