Community Room Reservation Request Form

Community Room Reservation Elibility

You are eligible to reserve a Community Room if you answer YES to all the questions below.

Are you 18 years or older?
Do you have a Washington-Centerville Public Library card, in good standing? (If you do not have a library card, apply online now.)
Do you live in, or is your organization located in, Centerville or Washington Township?
Are you a non-profit organization? (Ex: Home owner’s association, Boy Scouts, etc.)

For questions about eligibility, or if you are a city, state, county or government entity, please contact the Outreach Services Coordinator at (937) 435-3700 extension 429.

Complete this Form

* Denotes Required Field

*Select One:

Cynthia Klinck Community Room at Centerville Library (Accommodates up to 78 people). Get more information

Woodbourne Community Room at Woodbourne Library (Accommodates up to 70 people). Get more information

*Last Name

*First Name

*Phone Number

Please enter at least one number where you can be contacted between 8am and 4pm, Monday through Friday. Format xxx-xxx-xxxx. Area code is required!

Home Phone

Work Phone

Cell Phone

*Email

Please leave this field blank:

*Library Card Number
(Get a Library Card)

*Community or Civic Organization Name

*Number of People Attending

*Meeting Purpose

*Date Requested

*Start Time
(Format: ##:##/Hour:Minute)

*End Time
(Format: ##:##/Hour:Minute)

*Community Room Policies Agreement

As an authorized adult representative of the above organization, I hereby apply for the use of the room as indicated above. I have read the Library Rules of Conduct and Community Room Policies 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. I understand that this is not a confirmed reservation and that my request must be approved by designated Library personnel.