Application for use of the Meeting Room by a non-profit organization. There is no charge for the use of the room by non-profits, but there is a refundable $25.00 deposit required for each use. Monetary donations for use of the meeting room would be greatly appreciated.

Please fill out the following information and click submit to email. There is a refundable $25.00 deposit required.Please make check payable to Lake City Public Library and bring your deposit on or before the requested date.
Date of Meeting and Starting Time  
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Ending Date and Time of Meeting
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The person requesting this form agrees to assume entire responsibility and liability for all damages or injuries to all persons arising out of, resulting from, or in any manner connected with the above use of city facilities, and agrees to indemnify and save harmless the city, its agents and employees from all such claims including liable and legal fees and disbursements paid or incurred to enforce the provisions of this paragraph.
Refreshments served?   Please select one.

Media Equipment Needed Please select any of the following that you will need for your function
Date Request Submitted  
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