Room Reservation Form

If you would like to use one of the rooms at the synagogue, please complete the form below and click the Submit button to send to us. PLEASE NOTE: Room request must be approved by Patricia Hoffman.

Required *

PROGRAM * Please specify event/reason for request

Event/reason for request is a required field.

SPONSORING GROUP * Please enter sponsoring/requesting group name

Sponsoring/requesting group name is a required field.

PROGRAM DAY * Please enter day of program/event

Day of program/event is a required field.

PROGRAM DATE * Please enter date of program/event

Date of program/event is a required field.

ROOM(S) REQUESTED * Please select room(s) needed

Room(s) Requested is a required field.

GROUP SIZE * Please enter approximate number of people who will be using the room

Approximate number of people using the room is a required field.

START/END TIME * Please enter the start and end times of program/event

Start/end time is a required field.

ROOM SET-UP BY (TIME) * Please indicate time that room needs to be set up by

Room set-up time is a required field.

KEY NEEDED? * Yes No Please indicate whether or not a key is needed

Please select either

TO BE PICKED UP BY (required if "Key Needed" is "Yes") If key is to be picked up, please indicate who will pick up key

Number of Chairs

Field not valid (required or bad value)

Number of 8' Rectangular Tables

Field not valid (required or bad value)

Number of 6' Rectangular Tables

Field not valid (required or bad value)

Number of Round Tables

Field not valid (required or bad value)

Number of Paper Table Cloths

Field not valid (required or bad value)

Number of Extra Trash Cans

Field not valid (required or bad value)

Number of Prayer Books (please specify titles)

Number of Microphones

Field not valid (required or bad value)

Number of Candles

Field not valid (required or bad value)

Number of Music Stands

Field not valid (required or bad value)

Number of Extension Cords

Field not valid (required or bad value)

TV/VCR

Blackboard

Podium

Projector Screen

Piano

Havdalah Set

Portable Ark

Other Equipment (please specify)

Number of People for Coffee/Tea Beverage Set-up

Field not valid (required or bad value)

Number of People for Ritual Wine Set-up

Field not valid (required or bad value)

Other Services (please specify)

IF FOOD WILL BE SERVED, PLEASE SPECIFY

SPECIAL REQUESTS

DESCRIPTION OF ROOM SET-UP

REQUESTED BY * ##Please enter requestor's name

Requestor's name is a required field.

REQUEST DATE

Field not valid (required or bad value)

REQUESTOR'S PHONE

REQUESTOR'S E-MAIL ADDRESS * ##Please enter requestor's e-mail address

Requestor's e-mail address is a required field.

STAFF COORDINATOR

Field not valid (required or bad value)