Rental Agreement Full Name* First Name Last Name Address* Street Address Street Address Line 2 City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country E-mail* Phone Number* Type of Function* Bar mitzvahBat mitzvahChuppahFamily EventBrisBaby Naming Event Date* Note: All Saturday bookings require an additional $300 security fee. Month Day Year Event Time* 123456789101112 Hour001020304050 MinutesAMPM until 123456789101112 Hour001020304050 MinutesAMPM Set up needed from* 123456789101112 Hour001020304050 MinutesAMPM until 123456789101112 Hour001020304050 MinutesAMPM Number of guests* The following are subject to approval: Name of Caterer* Name of Party Planner* Entertainment No food or alcohol allowed other than what the approved caterer provides. Fees Rentals* Shul ($1500. $1500 due to reserve the date) The clean up crew comes in after the event. Event host / caterer is responsible to remove & dispose all food & event items at the end of the event. Security Fee* Sunday–Friday Booking (Security Fee Included)Saturday Booking (+$300 Security Fee) Large TV Screen I would like to rent the portable 75” TV screen at $150 Payment Authorization* I authorize an immediate charge to my selected payment method for the full invoice amount upon submission. Payment* Credit Card Paypal Credit Card We accept Visa, MasterCard, American Express, Discover Credit Card Number Security Code Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2026202720282029203020312032203320342035 Expiration YearPaypal has been selected. Payment will take place on the next page.Billing Address Street Address City State / Province Postal / Zip CodePlease SelectUnited StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanThe BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChilePeople's Republic of ChinaRepublic of ChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonThe GambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern MarianaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSomalilandSouth AfricaSouth OssetiaSpainSri LankaSudanSurinameSvalbardSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamBritish Virgin IslandsUS Virgin IslandsWallis and FutunaWestern SaharaYemenZambiaZimbabweOther Country Total $0.00 Cancelation Full refund issued if rental is cancelled at least a month in advance. Agreement: * I/we hereby agree that this event will be in compliance with Halacha and all City and State regulations. * All fees must be paid in full one (1) week prior to the event. * The rental fee covers the use of the specified hall, kitchen, coatroom, and restrooms. * No food may be brought into VALLEY CHABAD except by an approved hashgacha to be determined by the Rabbi of VALLEY CHABAD. * No orchestra, band, recorded, or instrumental music is allowed on Shabbat or Yom Tov. * No photography or videotaping is allowed in the building or on the grounds on Shabbat or Yom Tov. * No activity or event that violates halacha (as determined by the Rabbi of VALLEY CHABAD) will be permitted. * All activities of a religious nature, including, but not limited to, nusach hatefila or use of Sifrei Torah, must be approved in advance by the Rabbi of VALLEY CHABAD. * Use and conditions of use of the sanctuary must be approved by the Rabbi of VALLEY CHABAD. * The VALLEY CHABAD building and grounds are smoke-free. * Cell phones and beepers are not allowed in the Sanctuary during Shabbat or Holiday services. Physicians and other professionals or individuals requiring access to phones and / or beepers for halachically accepted purposes should set their phones and beepers to the "vibrate" setting. * Set-up times needed by florists, musicians, and other vendors both before and after Shabbat or Yom Tov must be coordinated by the VALLEY CHABAD office. Under no circumstances will workers be allowed into VALLEY CHABAD premises until the conclusion of Shabbat or Yom Tov. * The use of smoke machines, bubbles, bubble gum, silly string, glitter, and all similar items during the event is strictly prohibited. * All vendors must be approved by VALLEY CHABAD. * The renter is responsible for leaving the facilities in a clean condition without damage of any nature. All garbage must be deposited in proper refuse receptacles or removed from the property including any flowers, balloons, banners, etc. Any charges for repairs will be billed to the renter. Renter's responsibility extends to Renter's guests, the caterer, all vendors providing services and any other invitees of the Renter. * All vendors hired by the Renter or through the Renter's caterer (e.g., photographer, entertainment company, florist, caterer, or band) must provide VALLEY CHABAD with a Certificate of Insurance evidencing insurance coverage for Liability and Worker's Compensation insurance. A minimum of $1,000,000 per occurrence and $2,000,000 aggregate Bodily Injury and Property Damage Liability insurance is required and VALLEY CHABAD must be included as "additional insured" on the liability portion of the certificate with respect to the event date. * Renter agrees to indemnify and hold harmless VALLEY CHABAD from any claim or loss by reason of Renter's use or misuse of VALLEY CHABAD property, or from any claim or loss by reason of any accident or damage to any person or property occurring on VALLEY CHABAD's premises while the Renter uses said facility. Renter is responsible for providing appropriate supervision during the time the event is taking place. Additional notes Renters Signature* First Name Last Name Today's Date Month Day Year *Please note we cannot confirm and hold the date of your event until we receive this form which includes your payment as indicated above. I would like to receive news and updates from Valley Chabad by email. I understand that information I provide to Valley Chabad will be used according to its Privacy Policy and I can unsubscribe at any time. Submit Should be Empty: This page uses TLS encryption to keep your data secure.