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Meeting Room Reservation Form

  1. Will you be the person checking in for the meeting?*

  2. Do you have a Kearney Public Library card?

  3. Does the check-in representative have a Kearney Public Library card?

  4. Is there another check-in representative?

  5. Meeting Room Hours

    Meeting room hours are 9:30am-8:45pm Monday through Thursday, 9:30am-4:45pm Friday and Saturday, and 1:30pm-4:45pm on Sunday. The library is closed on public holidays.

  6. Please include set-up and tear-down time in your request.

  7. Would you like to request multiple meeting dates?

  8. Please select any amenities your meeting will require.*

  9. Please select items you will provide.*

  10. Agreement to Meeting Room Policies*

    As an authorized adult representative of the above organization, by selecting "agree", I hereby apply for the use of the meeting room as indicated above. I have read the policies and rules governing the use of the meeting room facilities and agree that they will be carefully observed. If a meeting is cancelled, I agree to notify the library as far in advance as possible.

  11. Please Note: You will receive a confirmation e-mail when your meeting has been approved.

  12. FOR LIBRARY USE ONLY

  13. Application Approved by:

  14. Date Approved:

  15. Assigned Room:

    Loup Room North Platte South Platte Niobrara

  16. Contact Signature:

  17. Deposit Paid

    Cash Check

  18. Deposit Returned

    Yes No Deposit Donated

  19. Contact Initials

  20. Library Staff Initials

  21. Notes:

  22. Leave This Blank:

  23. This field is not part of the form submission.