Fairfield Public Library
Room Reservation Form









Which room would you like to reserve?
  
Reserve time (includes setup time, which is included in the fee, if the applicant is paying a fee)

Do you need to use the TV/VCR? (No deposit is required. If the answer is maybe, please mark yes)
  
Open to the public?
  
The meeting room has a divider wall. Is half of the room sufficient to meet your needs?
  


For Staff use only

Checked patron's record on __________ (date) Staff initials __________
Check patron record, if they have an account with us. Advise them of fines, overdue charges, etc. They don't have to present their card; just type their name into computer.

Offered guidelines to patron on __________ (date) Staff initials __________
Offer every patron a copy. If they have used the room before, they don't have to take one.

No fee __________ Charged a fee in the amount of $__________ which was paid by
Cash __________ Check __________ on this date __________ Staff initials __________

Received a deposit in the amount of $__________ which was paid by Cash __________ Check __________ on this date __________ Staff initials __________

No key handed out __________Handed out key #__________ to patron on this date __________ Staff initials __________

Key was returned on this date __________ Staff initials __________