Village Meeting Room Reservation Form

2. Room Reservation Policy
   Room Reservation Policy (PDF)

   Read this policy prior to completing this form and be sure you meet the qualifications prior to submitting.

4. Name of Organization*

5. Organization Address*

7. Type of Organization*

   1. Government
   2. Non-Profit
   3. Other

9. Other Organization*

   If other, what type?

11. Contact Person*

12. Contact Email

14. Contact Phone

16. Name of resident/business owner member (per policy)

17. Resident/business address

19. Description of Meeting*

21. Number of anticipated attendees*

23. Meeting Date/Time *
    Meeting Date/Time

    Meeting Date/Time

    (Space is only available Monday - Friday)

25. Meeting Room Choice*

    1. Village Hall Board Room (Max capacity 75)
    2. Village Hall Lower Level Meeting Room (Max Capacity 10)
    3. Other

27. Other*

    If other, which room?

29. Time you would like access to the building*
    Time you would like access to the building

30. Time you expect to be done with the building*
    Time you expect to be done with the building

32. Will food/beverages be served/provided?*
    -- Select One --YesNo

33. If, yes to food/beverage being served, please describe

35. Additional equipment needed?
    -- Select One --YesNo

36. If equipment is needed, please describe.

38. Clause:*

    By submitting this form, you understand that if the date/event is authorized, an Indemnification Agreement will need to be signed by an Authorized Representative of the Organization in order for the meeting to be held.

    1. Agreed
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field