Meeting Room Application - General Public Use

2. Submission Options & Room Usage Policies

4. Submission Options
   This form may be submitted online or printed and submitted to the Norwalk Public Library:<br> 1 Belden Ave.<br> Norwalk, CT 06850<br> Fx: (203) 857-4410 <br> <br> Fill out the room application form below for room availability. We will contact you by email as soon as possible to discuss your application.

   This form may be submitted online or printed and submitted to the Norwalk Public Library:
   1 Belden Ave.
   Norwalk, CT 06850
   Fx: (203) 857-4410
   
   Fill out the room application form below for room availability. We will contact you by email as soon as possible to discuss your application.

6. SoNo Branch Room Bookings
   Click here

8. Usage Rules & Regulations
   Room Usage Policy

   Please read the above Room Usage Policy prior to requesting a room. These policies cover meeting rooms and all other meeting space at the Main Library (1 Belden Avenue) and the SoNo Branch Library (10 Washington Street).

12. Room Details / Needs

14. Day room is needed:*
    -- Select One --MondayTuesdayWednesdayThursdayFridaySaturdaySunday

15. Date room is needed:*

17. Time of program:*

18. Length of Program*

19. Time needed for setup:*

20. Time needed for cleanup:*

22. Room / space requested:*
    -- Select One --Main Library - Full Auditorium (175 capacity)Main Library - 3/4 Auditorium (100-130 capacity)Main Library - Chess Room (40 max. capacity)Main Library - Computer Lab (10 max. capacity)Main Library - Conference Room (12-20 max. capacity)Main Library - Children Activity Room (49 capacity - Children's programs only)Main Library - Judy Room (10 max. capacity)Main Library - Large Study Room (10 max. capacity)Main Library - Lower Level

24. Room rental fee:*
    -- Select One --Nonprofit Organization$350 - Full Auditorium With Stage (175 capacity)$300 - $350 - Full Auditorium Without Stage (175 capacity)$250 - 3/4 Auditorium (100-130 capacity)$150 - Chess Room (1/4 auditorium, 40 max. capacity)$150 - Conference Room (12-20 max capacity)$150 - Children's Activity Room (for children's programs only)$250 - Computer Lab (10 max. capacity)Free - Judy Room (10 max. capacity)Free - Large Study Room (10 max. capacity)$### - Lower Level

    Note that the full amount of the room rental fee is due in advance.

26. Title of event, purpose of meeting, or main speaker's name:*

30. Organization / Requester Background Information

32. Name of sponsoring organization:*

33. Organization / group type:*
    -- Select One --IndividualNonprofit OrganizationFor-Profit Organization

35. Organization's website (URL):

36. Organization's email address (if available):

38. Address1*

40. Address2

42. City*

43. State*

44. Zip*

46. Requester's personal name:*

48. Requester's title:*

49. Requester's phone number:*

50. Requester's fax number:

52. Requester's email address*

56. Event / Program Details

58. Will you be charging admission?*
    -- Select One --YesNo

59. If yes, then how much will you charge?

61. Will you be selling products or services or soliciting customers?*
    -- Select One --YesNo

62. If yes, what will you selling / soliciting?

64. Program Description

66. How would you like the room arranged?

68. How many chairs will you need? And is there a specific way you would like them arranged?*

70. How many tables will you need? And is there a specific way you would like them arranged?*

74. Equipment Needs

76. Will you need refreshment tables?*
    -- Select One --YesNo

78. Library also has the following items available for use. Please check what you will need for your event:

    1. Video projector (projects onto a screen)
    2. Screen
    3. Large easel with paper
    4. Reversable marker / bulletin board ( 3 by 4 feet)
    5. Overhead projector
    6. Microphone
    7. Podium
    8. Stage
    9. Laptop (by special arrangement)
    10. Computer projector (by special arranagement)
    11. Mr. Coffee 10 cup coffee maker (we do not supply or make the coffee)
    12. 40 cup coffee urn (we do not supply or make the coffee)

82. Form Completion & Submission Agreement

84. I agree to the Norwalk Public Library’s Meeting Room Policies and agree to pay room rental fees (if applicable) as well as charges for damages (if any) and overtime charges as agreed upon in advance.*
    -- Select One --Yes - I agree to these termsNo - I don't agree to these terms

86. Date of application submitted (today's date):*

Leave This Blank:


87. 1. Receive an email copy of this form.
88. Email address

    This field is not part of the form submission.

89. Submit

* indicates a required field