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

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

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

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:

* 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.

* Security Hours Required (4 hour minimum per day)

Enter Total Number of Guard Hours:

(@$50 / hour: ** 4-Hour Minimum Security Charge
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:

* By Checking each box, I agree:

I will only use food and/or catering services at Young Israel of Lawrence Cedarhurst (YILC) certified Kosher by the Va'ad of the 5 Towns, or any recognized National Orthodox certification, and I will ensure food arrives sealed to the premises.All caterers must be approved by YILC at least one week prior to event and I will ensure they provide a Certificate of Insurance indemnifying YILC and all it's directors, and they have a liquor license (if serving liquor).(If not using a full-service caterer): I will hire a minimum of 2 waitstaff responsible for setup and cleanup for private delivery. I will make sure they will be responsible for cleaning up, and removing garbage to the outside dumpster following event.I will provide setup plans for tables and chairs for 'non catered events' to the office a minimum of 2 business days prior to the event.Cleanup and setup is ultimately the responsibility of the renter. Our rental includes the room and use of available tables and chairs. If the caterer or the hired staff serving do not ultimately restore the room to the original condition, a cleaning fI understand this is an application and does not constitute a contract.

PLEASE NOTE: Members need to log into their account to Bill-to-Account and pre-populate forms ^^

Facility / Event Rental Intake Application