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 InformationRenter's Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Enter Email Confirm Email Are you a current JCC member?* Yes No JCC Member Number Party InformationDate of Party* MM slash DD slash YYYY Alternate Dates (if first choice unavailable)* Start Time of Party* : Hour Minute AM PM AM/PM End Time of Party* : Hour Minute AM PM 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)*AgreementsSCHEDULING 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 Δ Share Facebook Twitter LinkedIn