Bookmobile Request Outreach Request Form Laramie County Library System’s mission is to be a hub for engagement, literacy and learning, and lifelong curiosity and discovery – both inside the library and out in the community. If you are planning an event and think the library should be there, please let us know by filling out the form below. Here are some things to know as you request a visit from Library Outreach: Submit your request at least four weeks prior to the date of the event. Submission of this form does not guarantee that a library employee will be available for your event. All requests are evaluated in the order they are received. What type of visit are you requesting? * Community Event Daycare or Pre-School School Event Senior Facility 1st Grade Bookmobile Visit What is the purpose of your request? * Organization/school name * Contact person/teacher name * Contact's phone number * Contact's email * Location of requested visit * Please note: due to the high volume of outreach requests, we may be unable to accommodate your requested date. Please provide three date options so that the library can work your request into the outreach schedule. If only one date works for you, leave the second and third choices blank. Date or requested visit (first choice) * Date of requested visit (second choice) Date of requested visit (third choice) How long of a visit are you requesting? (i.e. 30 minutes, 45 minutes, 1 hour) * Start time of requested visit * 121234567891011 : 0030 AMPM Is the requetsed time flexible? * Yes No Name of event (if applicable) Grade/age of children (if applicable) Number of children (if applicable) Number of adults (if applicable) Is this an indoor or outdoor visit/event? * Indoor Outdoor Both Do you supply table(s) or chairs? * Yes No Do you supply table(s) or chairs? Will the library be charged a fee to particpate in this event? * Yes No What would you like the library to provide? Check all that apply. * Library card sign-up Storytime Presentation about the library, its services, or its programs Presentation about research skills Book talk Library service information (i.e. event calendars, bookmarks, brochures) Bookmobile Visit Craft Other (please specify)Other (please specify) Confirmation needed by what date? * Additional Information You will receive an email confirmation acknowledging your request. If you are human, leave this field blank. Submit Start Over Δ
