Birthday Party Request Form

Thank you for your interest in holding a birthday party at the JCC. Please fill out this form as completely as possible. We will get back to you with availability and pricing.

Contact Information
Renter's Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
Are you a current JCC member?*
- Yes
- No
JCC Member Number
Party Information
Date of Party*
MM slash DD slash YYYY
Alternate Dates (if first choice unavailable)*
Start Time of Party*

: Hour

Minute

AM/PM
End Time of Party*

: Hour

Minute

AM/PM
Type of Party*
- Gym Jam
- Splish Splash
Name of Birthday Child*
First Last
Age of Birthday Child*
Guest Age Range*
Number of Guests (Children)*
Number of Guests (Adults)*
Agreements
SCHEDULING AND PAYMENT
All birthday parties should be scheduled at a minimum of 2 weeks in advance, and are pending availability.

A rental agreement must be completed and signed, along with a 50% retainer in order to reserve your date. Retainers are refunded if canceled at least 14 days prior to the event.

All parties are a two hour minimum. Additional time is available at $100 per each additional hour.

The remaining balance must be paid in full 14 days prior to the event. If the event is scheduled with less than a 2 week notice, the fee must be paid in full at the time of the reservation. Failure to pay in a timely manner will result in cancellation of our reserved date and forfeiture of your retainer.

Party packages include up to 12 children. Groups of 13-24 children are an additional $50. Adults are free. Maximum of 30 guests total (children and adults).

EVENT TIME
Events must be completed and cleaned up by no later than the length of the agreed upon rental time. If an event extends beyond the approved time, an additional fee of $50 per every 15 minutes past the scheduled event time.

Events are permitted to begin set-up 30 minutes prior to the event and include a 30 minute post event clean-up. Additional fees will apply for set-ups requiring additional time beyond the 30 minutes.

FOOD AND DECORATIONS
All food brought into the premises must recognize Jewish traditions and must not contain pork nor shellfish.

Please bring your own decorations, cake and refreshments. Refrigeration is unavailable.

All decorations brought into the JCC must be removed at the conclusion of the event.

OTHER
We take pride in our facility and expect the highest behavior standards of our staff, our members and our guests. Individuals or groups who damage JCC or personal property, or are disruptive, may be asked to leave the facility without refund. The Renter assumes full responsibility for the character, acts, and conduct of all persons admitted on premises for event. The Renter is responsible for all loss or damages to the premises caused by Renter’s event.

The JCC is not liable for loss or damage to any personal property.
I agree to the aforementioned terms.*
I hereby release and hold harmless the JCC, its employees, agents and representatives from and against any and all losses, claims, damages, expenses or other liability which might result from any injuries or death or property damage sustained by me/my child while at the JCC (whether or not such injuries are caused by acts of commission or omission or by negligence of the JCC) or which relate to the emergency or medical treatment of me/my child.*
I consent to the use of my/my child’s photograph by the JCC for publicity purposes.*
- Yes
- No

Birthday Party Request Form

Contact Information

Party Information

Agreements