Meeting Room Request Form

The Rolla Public Library’s meeting room will be unavailable from May 30th to July 30th due to our upcoming Summer Reading Program. All request made for this time will be denied, if you have any questions you can give us a call at (573)364-2604 or email the Library Director at director@rollapubliclibrary.org.

Group Name*
*Please be aware that space is limited in our meeting room. When local COVID numbers are high, we recommend having no more than 10 people in the meeting room at a time. We also ask that you consider taking precautions for your group by wearing masks and social distancing as best as you can. We will wipe down all surfaces before and after your group leaves. Please let us know if you have any questions or concerns.*
- Physical Room*
- Outdoor Courtyard
- Virtual Room
- Both*
*Please be aware that space is limited in our meeting room. When local COVID numbers are high, we recommend having no more than 10 people in the meeting room at a time. We also ask that you consider taking precautions for your group by wearing masks and social distancing as best as you can. We will wipe down all surfaces before and after your group leaves. Please let us know if you have any questions or concerns.
Please list any COVID Precautions that you will be taking for your group meeting in the Library:
If the weather is nice, you may ask us to set up tables and chairs in the courtyard for you.
Number of People Attending*

If you do not know an exact number, please provide an estimate.
Contact Person*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email*
Library Card Number*
Are you a current card holder?*
- Yes
- No
Account in good standing*
- Yes
- No
Date of Meeting*
• If a virtual meeting, would you like the meeting to be recorded?
Time of Meeting*

: Hours

Minutes

AM/PM
End of Meeting*

: Hours

Minutes

AM/PM
Have you read the Library’s Meeting Room Policy?*
- Yes, I have read the Library’s Meeting Room Policy and agree that I and my organization will adhere to the same.
If you have not read the Library Meeting Policy please read it here: Meeting Room Policy
Signature

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