Before filling out the below form, please make sure you have read and understood our rental policies.

Name

First Name

Last Name

Email Address

Phone

(###)

###

####

Title of Event

Date of Rental

YYYY

Start and End Times of Rental

Audience

Private, group meeting, open to the public, etc.

Please select the room(s) to be rented

Social Hall

Prayer Hall

Lower Level Meeting Room

Kitchen

Other

Event details

Please provide a brief description of the event (halaqa, private party, youth activity, etc.)