Facility Use Reservation Request

Full Name:*

First Name Last Name

Contact Information for Event:

Phone Number:*

Area Code Phone Number

E-mail:

Date of Event:*

Month Day Year

Time of Event:*

Set Up Time/Times:*

By:*

Tear Down*

Room Options: * Additional fees - over 8hrs. - $50/Hour

Back of shul only (4 hours) - Member $180 Back of shul only (4 hours) - Non Member $250 Back of shul only (8 hours)* - Member $250 Back of shul only (8 hours)* - Non Member $300 Back of shul / front theatre (4 hours) - Member $200 Back of shul / front theatre (4 hours) - Non Member $275 Entire sanctuary (8 hours)* - Member $500 Entire sanctuary (8 hours)* - Non Member $750

Hours:

Caterer:

Phone:

Email:

Mashgiach:

Hours:

Kitchen Fee:

$

Cleaning Fees:*

Back of Shul Cleaning fee - $180 Back of Shul / front theatre Cleaning fee - $200 Entire Sanctuary Cleaning fee - $400

Deposit $500

Please initial to indicate agreement: I have read and agree to the policies in the COI Facilities Usage Schedule. I accept all responsibility for any damages incurred from utilizing this facility and hold COI harmless for any claims of loss, injury or damage to person or property while on Chabad of Irvine premises. I agree to payment of all specifies costs.*

Payment*

Credit Card Check

Postal / Zip Code

Country

To be provided by Chabad of Irvine, please select the items you are requesting:

Round Tables - large (14 available) Round Tables – small (3 available) Rectangle Tables (20 available) Shul chairs – not to be used for dining (200 available) Plastic Chairs – to be used for dining (200 available) Placement of tables according to map provided by family Set up audio/visual (Chabad of Irvine does not have a laptop – you will need to bring one with you)

Rental hours
Rental time is based upon total of 8 hours for décor treatment, reception and event. Additional hours may be purchased ($50.00/hour) on a limited basis, scheduling permitting. Additional events may subsequently be scheduled in another location on the campus. All arrangements regarding scheduling must be made with the office and confirmed by the Rabbi.

All vendors shall supply proof of insurance to the office, before your event date.

To use just the venue NO Kitchen: Fill out facility rental form for dates and times requested Pay deposit Submit 2 weeks prior floor plan for set-up and final schedule (in order to have appropriate staff on hand etc) Party responsible to have venue cleaned

To use the Kitchen: Kitchen can be rented out to an approved outside caterer. Caterer is responsible to bring their own Mashgiach. Use of Kitchen will be given based on times requested and approved on appropriate forms Approved caterer will have access to sinks, counters, fridge and freezer (Use of stove, oven, warmer and dish washer needs prior approval). All utensils, cooking equipment, spices, pantry etc will be locked and not allowed (Unless prior approval issued) Kashrus of events will be under respected certification of approved outside caterer. If outside food is cold platters with no mashgiach etc Kitchen use will not be granted. Use of Kitchen requires additional mashgiach fee and needs to be requested, approved and finalized 2 weeks prior to event. All forms need to finalized and approved no later then 2 weeks prior to event. Any changes thereafter will incur higher rates if changes can still be approved.

Chabad of Irvine only certifies the overall event when food is prepared off site from approved caterer and no cooking or re-heating is done on premises. Any additional food preparation requires a mashgiach for time kitchen in use as well as duration of event. All food, liquor, drinks need to be in unopened and new condition and require approval no later than 48 hours in advance of event.

Utensils, glassware, platters etc need to be new. Any rental of such glassware used in contact with food needs prior approval and requires a mashgiach to use.

Mashgiach: Only approved individuals can be used. Rate is set by Chabad of Irvine and payments made to Chabad of Irvine. Any changes or request for mashgiach less than 1 week prior to event can not be guaranteed.

Signature:*

Date:*

Facility Use Reservation Request

Kitchen Use Information

OPTIONAL Security Guards You may choose to hire security guards for your event.

Cleaning Fees

50% of payment is due 2 weeks before the event. Remaining balance to due on the day of the event.

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