Bookmobile Special Event Request Form

Name of organization/event:

Contact person:

Address:

Phone:

The Bookmobile is 33 feet long and must have adequate room to maneuver. Please describe the area where the Bookmobile would be parked and how it could enter and exit:

Requested date and length of time for special event:

Topic or purpose of the event:

Would you be promoting that the bookmobile would be available?

Yes

If so, how:

What age levels do you anticipate the Bookmobile serving? (Check all that apply)

Preschool

Children

Teens

Adults

Seniors

Family

What library services would most benefit this event? (materials checkout, Library Card sign up, promotion of library services, etc.)

Comments or Questions: