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

Please Note: Shabbos Bar Mitzva Leining in shul is limited to children / grandchildren of full members.

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?

Parent(s) Name(s) of Bar Mitzva Boy:

Bar Mitzva Boy's Name:

Bar Mitzva Boy's School

Event Planner Name:

Event Planner Phone Number:

Event Planner Email:

* Date of Event:

Event Start Time:

* Event Conclusion Time:

* Guest Count:

2nd Date of Event (If applicable)

2nd Day Event Start Time:

2nd Day 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)Youth Center - Non-Member - 1500 (Shabbos Day)Ballroom Non-Member Rate – 1500 (Friday Night)Ballroom - Non-Member - 1500 (Shabbos Day)Graduation Main Sanctuary - 1800Main Sanctuary Basic Usage - 300 (program/event)CHECK ALL THAT APPLY

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

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

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)Drink Service Bar ($125)Please check all that apply
Anything requested after booking will be charged to account.

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.

Security hours are required for each day of event (ie. Friday night / Shabbos Day).

* I have read and agree to abide by the Terms and Conditions of renting YILC facilities.

I have read and agree to abide by the Terms and Conditions of renting YILC facilities.

Signed:

Date

Total Due:

This is the estimated amount that will be charged once the application and your account has been reviewed. The reservation is not confirmed until payment in full is received.

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Facility / Event Rental Intake Application