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Congregation Netivot Shalom Event Scheduling Request Form
Please fill out this form to the best of your ability. PLEASE NOTE that the dates, times and rooms requested will not be final until confirmed by the Rabbinic Assistant or Cathy Rosenfeld (Facilities Manager).

We reserve the right to make last-minute room changes to accommodate the needs of all programs. Please make your room request at least two weeks in advance!
Your name *
Name of person submitting form
What is your e-mail address? *
What is the best phone number to reach you? *
What CNS Committee does this event fall under the purview of? Please check the appropriate box and connect with that committee before submitting this form! *
Is this a CNS event or a non-CNS event? *
If this is a non-CNS event, have you been in touch with Cathy Rosenfeld about rental agreements? *
If not, please e-mail to discuss.
Please give us the title of your event and a short description of what it is. *
If it is public, the title of your proposed event will be displayed on the Public CNS calendar found on the website. If your event is not public, please indicate that and provide us with a title we can use on our internal CNS calendar.
What date(s) are you proposing for this event? *
If your proposed date is not available, do you have an alternate date(s) in mind?
Event start time *
What time will the event begin?
Event end time *
What time will the event be over?
Required Access Time *
What time will you need access into the building?
Estimated completion time *
What time will you estimate finishing your event and vacating the building?
Where would you like the event to take place? *
Should this event be listed on the CNS public calendar for view on the website? *
Please check all promotional options that you would like. *
Please note that if this proposed event is intended to be public, you must invite the congregation to participate in one of the below forms.
If requiring promotion, please provide us with a 3-4 sentence description of your event that we can use on the website, emails, and the Shabbat sheet.
Do you have an image you would like included on the event page on the CNS website? If so, please email it to
Clear selection
Which staff member will act as a liaison for your event? *
How many attendees are you expecting? *
For an event OUTSIDE REGULAR BUSINESS HOURS (Mon-Th 9:00 am - 4:00 pm, Friday 9:00 am - 2:00 pm), who is the person responsible for opening and closing the building? (If not applicable, put "N/A." If you do not know, please contact the office.) *
PLEASE NOTE: The person below is additionally responsible for getting the building and alarm codes from Cathy Rosenfeld. Please contact her at for this information.
Will you be serving food/drink? If so, please indicate the name of your caterer.
Name of contact person for the day-of *
E-mail/phone number of contact person for the day-of *
FOR AFTER HOURS EVENTS ONLY: The person filling out this form agrees to close or appoint appropriate person to close the building in absence of security. *
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