PRIVATE FUNCTIONS

Rental Events Form

Building Use Application & Agreement

(Updated 11/20/04)

 

 

This form be returned no later than 30 days after you receive a confirmed date from the Temple's Director of Administration (AD).
Your date will not be held for you unless this form and deposit are received.

 

Temple Shir Tikvah
34 Vine Street
Winchester, MA 01890
(781) 729-1263     (781) 729-1363 fax

 

Date of Function: _____________ Type of Function: ________________________

 

Estimated Number of Guests:* ___________                   

 

Applicant: ______________________________________________________________

                                                Name

______________________________________________________________________

                                                Address


Phone:  ____________________(h) _____________________(w) ___________________(cell)

 

Email: ____________________________________

 

Bar/Bat Mitzvah Name(s): __________________________________________________

 

Wedding: Applicant #1 (m/f) Name/Address: ___________________________________________________________

 

Applicant #2 (m/f) Name/Address: ___________________________________________________________________

 

Caterer Name/Address:* __________________________ Phone: ___________________

 

Florist Name/Address: ____________________________ Phone: ___________________

 

Photographer Name/Address: ________________________________________________

 

Videographer Name/Address: ________________________________________________

 

Band or DJ Name/Address: __________________________________________________

 

Facilities Requested (check all that apply):

____ Sanctuary    (from ________ to ________)

____ Oneg Room (from ________ to ________)

____ Kitchen        (from ________ to ________)

 

*If you have not chosen a caterer at the time of this application, or do not have an accurate estimate of the number of guests,
please forward this information to the Function Coordinator (FC) as soon as possible.


**Please note: The Temple may be reserved for a reception for any amount of time up to a maximum of 4 hours following the Kiddush.
(Weddings: please see Fee Schedule for time maximums.)

 

Terms and Conditions:


Accompanying this application is a check in the amount of $____________, representing one-half of the applicable fees for use of the facilities designated above. I agree to read and comply with the Temple Shir Tikvah Guidelines for Rental and Use of Temple Facilities. I agree to return this form along with the deposit no later than 30 days after I receive a confirmed date from the Temple. I understand that my date is not reserved until the Temple has received this application and deposit. I also agree to pay all remaining fees to Temple Shir Tikvah no later than ten (10) business days before the date of the function.

 

I understand that the rental fee includes custodial services beginning one hour before the event and concluding one hour after the event. The event may not exceed 4 hours following a Kiddush. If additional custodial time is needed by me or by my caterer, florist, entertainer and/or photographer, I agree to pay for such additional time at the rate $60 per hour. I further agree to notify the FC at least 10 days before the function of the amount of additional custodial time that will be needed, including any additional time that is required in order to allow my caterer, florist, entertainer and/or photographer to have access to the building. I understand and agree that if the building is left in a condition requiring more than the usual custodial clean-up, I will be charged for custodial overtime and/or for outside cleaning help.

 

Check One:

 

_____ I have attached hereto a sketch of the manner in which I request that the Oneg Room and/or Sanctuary (as a Function Room) be set up by the Custodian.

 

_____ At least 10 days before the event, I will furnish a sketch of the manner in which I request that the Oneg Room and/or Sanctuary (as a Function Room) be set up to the FC or the AD, who will deliver it to the custodian. (Note: the Temple does not provide tablecloths for the large rectangular, round or porch tables.)

 

I understand that I may not exceed the occupancy rates of any room(s) in the Temple building.


I understand that the estimated number of guests entered above will form the basis for the custodian's set-up of the Sanctuary. If I desire a different number of chairs to be set up in the Sanctuary, I agree to notify the AD, who will relay the information to the Temple custodian at least 10 days before the function.

 

I agree that I am responsible for removing all flowers and decorations immediately after the event, unless permission to leave specific items is given by an authorized Temple representative. I also agree that my caterer will depart the premises within one hour following my event.

 

It is further agreed that Temple Shir Tikvah is not responsible for any loss of, or damage to, personal property or for any injuries suffered by any person(s) or their guests using the Temple facilities.

 

I understand that the Temple has reserved the right to change, modify or cancel this agreement by sending thirty (30) days written notice to me. Such changes and modifications shall be deemed to be accepted by me unless the Temple receives written notice to the contrary within the (10) days thereafter. In the event either party cancels this agreement, there shall be no liability resulting thereby.

 

 

There is no other agreement or contract between the parties other than as herein set forth.

 

 

Applicant’s Signature: ______________________________ Date: _______________

 

Authorized Representative

of Temple Shir Tikvah: ______________________________ Date:_______________ 

 

 

 

 

Office Notations:

 

Check received by: _________________________ Date: ______________

 

Balance remaining: __________________________ Due by:____________

 

Balance received by: ________________________ Date: ______________

 

 

Temple Shir Tikvah
34 Vine Street
Winchester, MA 01890
781-729-1263
office@shir-tikvah.org