Event Intake Application

Applicant's First Name:

Last Name

Email Address

Organization Name (If Applicable):

Address:

City

State:

Zip Code:

* Mobile Contact Number:

Alternate Phone Number:

* Occasion of Rental

THIS SECTION IS FOR BAR MITZVAH / BRIS (BRIT MILAH) RENTAL REQUESTS:

If Shul is needed (ie Bris), which room?:

If Bris: Private or Regular Minyan?:

What Minyan Time?:

Will your son be leining?

Event Planner Name:

Event Planner Phone Number:

Event Planner Email:

* Date and Time of Event Start:

* Event Conclusion Time:

* Guest Count:

Second Day Event Start Time (if applicable):

Event Conclusion Time:

Guest Count:

NON-MEMBERS: Room Rental Options:

Ballroom Non-Member Rate - 1500 (Weekday)Youth Center Non-Member Rate – 750 (Weekday)Youth Center Non-Member Rate – 750 (Friday Night)Ballroom Non-Member Rate – 1500 (Friday Night)Ballroom - Non-Member - 1500 (Shabbos Day)Youth Center - Non-Member - 1500 (Shabbos Day)Graduation Main Sanctuary - 1800Main Sanctuary Basic Usage - 300 (program/event)

YILC MEMBERS*: Room Rental Options:

Ballroom YILC MEMBER Rate - 1000 (Weekday)Youth Center YILC MEMBER Rate - 500 (Weekday)Youth Center YILC MEMBER Rate - 500 (Friday Night)Ballroom YILC MEMBER Rate - 1000 (Friday Night)Ballroom - YILC MEMBER - 1000 (Shabbos Day)Youth Center - YILC MEMBER - 1000 (Shabbos Day)Graduation Main Sanctuary - 1800Main Sanctuary Basic Usage - 300 (program/event)*Associate Membership does not qualify for Membership discount

* Non Member and Non-Profit Org. Equipment Rental: (Setup and rental costs apply.)

No, I do NOT require any equipment rentals from YILC1 x Projector and Screen ($75)2 x Projectors and Screens ($150)Microphone / Speaker(s) ($75)Speaker's Podium ($25)Sefer Torah ($75)Aron HaKodesh ($250)Torah Reading Shulchan ($175)Please check all that apply
Anything requested after booking will be charged to account.

Registered Non-Profits will have YILC Member Rates
Members must be in good standing.
New Members less than a year will be given membership rate after membership has been paid in full.

Caterer to be used:

Phone Number:

Contact email:

* Security Hours Required (4 hour minimum per day)

Enter Total Number of Guard Hours:

(@$60 / hour: ** 4-Hour Minimum Security Charge each day)
Security should commence a minimum of 30 min before event and last throughout event and 30 min after.
Attendance over 150 will require 2 guards (minimum 8 hours). A penalty fee of the required hours will be charged for under-estimating numbers in violation of the guard quota.

Total Due:

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Facility / Event Rental Intake Application