Room Reservation for Simcha

In order to reserve a date this form should be filled out as soon as a date is chosen. Please
provide as much relevant information as possible at that time. The form must be re-submitted with all the
information at least 2 months prior to the date.

A 50% deposit is required to hold dates. You will receive a full refund if cancelled 90 days before the event.
Half refund if cancelled 30 days prior to the event. There is no refund within 30 days of the event.

**For events that span multiple days or times (like a Bar Mitzvah with Friday night & Shabbat day events or an event with a Shabbat day and Saturday Night event, etc) please fill out a separate form for each day of the event as there is different information needed for each day.

Name

Address

City

State

Zip Code

Phone Number

Is this reservation for a shul function?

YesNo

Event:

Date and time of event

For Bris:

For Bris - Shacharis should take place at:

1st Minyan in the Main Shul1st Minyan in the Beit Midrash2nd Minyan in the Main Shul2nd Minyan in the Beit Midrash

Bar Mitzvah:

Please note: Bar & Bat Mitzvah youth must meet with Rabbi Muskat 2 months prior to their event date

My Son will be leining on the following shabbat/special day:

My son will be leining parshat:

Number of aliyot needed:

My son will be leining:

The Whole ParshaPart of the Parsha

Will the affair be catered

YesNo

Before securing a caterer, please consult with the Rabbi about the kashrut of the caterer

Caterer Information

Please provide the caterer's name, the person to contact and the phone number for that person

What time will the caterer begin needing access to the kitchen

Is a Yio mashgiach needed

Yes; Cost:$200No-a mashgiach will be provided by the catererNo-other reason

Will you need candy bags for your affair?

YesNo

All Bar Mitzvah/Aufruf candy bags must be ordered through Lauren Nudelman (LaurenNudelman@gmail.com) at least 2 weeks prior to the event.
No outside candy bags are allowed.

We will use the Shul's paper goods:

YesNo

We will use the Shul's soda, crackers, chips, etc...:

YesNo

Number of people attending

Number of tables needed

Ballroom tables available:

3 - 8 ft x 30” wide (seats 12 but usually used for food station)
3 - 8 ft x 36” wide (seats 12 but usually used for food station)
6 - 6 ft x 30” wide (seats 10 but usually used for food station)
11 - 60” circular (seats 10)
10 -72” circular (seats 12)

Number of chairs needed:

I need the following extra equipment

We will respond with the price of the event and the amount of deposit required
We will provide the set-up requested and the clean-up
Please remember to include a tip for the caretaker
Please note: We do not allow anything to be affixed to the walls

Room Reservation

This week's Torah portion is Parshat Chukat

Candle Lighting

Fast of Tammuz