THEATER RENTAL FORM
Water Gardens Keolu 4
1090 Keolu Drive, Suite 114
Kailua Hawaii, 96734
Keolu4@gmail.com
Rental Date:
Rental Start Time:
Estimated # of Guests:
Rental End Time:
(Rates based on a 2.5 hour block or fraction thereof, includes tax)
Theater Requesting:
# Seats:
Peak Rate:
#1
244
$1,403.00
$701.00
#2
85
$488.00
$244.00
#3
104
$598.00
$299.00
#4
195
$1,121.00
$560.00
(Circle One)
Normal Business Hours:
***Non-peak Rate:
**Monday through Friday:
2:00pm – 12:00am
**Saturdays, Sundays and Holidays:
10:00am – 12:00am
**Holidays are based on public school holidays
***Non-peak rate not available on Saturdays, Sundays and Holidays
Will you be bringing your own DVD? Or watching an existing movie?
DVD
Existing movie
If bringing a DVD, it must be a Blu-ray. Name of DVD:
Will you be bringing in your own food? (Circle one)
NO
YES
All beverages must be provided by the theater. If yes, any needed cleaning on the part of Water
Gardens will incur a $100.00 cleaning fee (per theater).
Will you need to borrow tables? (Circle one)
NO
YES
1 table 2 tables
Will you need the concession stand open? (Circle one)
NO
Would you like to pre-order your snacks?
NO
Contact Name:
Phone:
YES
YES
(If yes, see attached form)
Group/Organization Name:
Address, City, State, Zip:
Once the Theater Rental Form is received and confirmed, a 50% Non-refundable deposit is due in order
to confirm the reservation. The 50% Non-refundable balance payment is due 7 days prior to the event
date. **Special Terms and Conditions may apply.
THEATER RENTAL
CONCESSION PRE-ORDER FORM
Water Gardens Keolu 4
1090 Keolu Drive, Suite 114
Kailua Hawaii, 96734
Keolu4@gmail.com
Rental Date:
Rental Start Time:
Estimated # of Guests:
Rental End Time:
Contact Name:
Phone:
Group/Organization Name:
PLEASE LIST TOTAL NUMBER OF EACH ITEM YOU WOULD LIKE TO PRE-ORDER
ORDERS WILL BE READY AT RENTAL START TIME
DRINKS
PEPSI
$2.25 SMALL _____
$3.25 MEDIUM _____ $4.25 LARGE _____
DIET PEPSI
$2.25 SMALL _____
$3.25 MEDIUM _____ $4.25 LARGE _____
SIERR MIST
$2.25 SMALL _____
$3.25 MEDIUM _____ $4.25 LARGE _____
RASPBERRY ICED TEA
$2.25 SMALL _____
$3.25 MEDIUM _____ $4.25 LARGE _____
FRUIT PUNCH
$2.25 SMALL _____
$3.25 MEDIUM _____ $4.25 LARGE _____
ORANGE CRUSH
$2.25 SMALL _____
$3.25 MEDIUM _____ $4.25 LARGE _____
BOTTLED WATER
$2 BOTTLE ______
*LARGE QUANTITIES NOT AVAILABLE – subject to availability
*RASPBERRY SIBERIAN CHILL
$2.50 SMALL _____ $3.50 MEDIUM _____ $4.50 LARGE _____
*ORANGE CREME SIBERIAN CHILL
$2.50 SMALL _____ $3.50 MEDIUM _____ $4.50 LARGE _____
BREAKDOWN
$2 DRINKS #____ X $2 =
$_________
$2.25 DRINKS #____ X $2.25 =
$_________
$2.50 DRINKS #____X $2.50 =
$_________
$3.25 DRINKS #____ X $3.25
=
$_________
$3.50 DRINKS #_____X $3.50
=
$__________
$4.25 DRINKS #____ X $4.25 =
$_________
$4.50 DRINKS
$_________
#____ X $4.50 =
TOTAL CHARGE
$_________
THEATER RENTAL
CONCESSION PRE-ORDER FORM
Water Gardens Keolu 4
1090 Keolu Drive, Suite 114
Kailua Hawaii, 96734
Keolu4@gmail.com
Rental Date:
Rental Start Time:
Group/Organization Name:
PLEASE LIST TOTAL NUMBER OF EACH ITEM YOU WOULD LIKE TO PRE-ORDER
ORDERS WILL BE READY AT RENTAL START TIME
SNACKS
POPCORN
$2.50 SMALL ______
$3.50 MEDIUM _____
COTTON CANDY
$2 _____________
*HOT DOG - LARGE QUANTITIES NOT AVAILABLE
$2 _____________
ANGUS CHEESEBURGERS & BBQ RIB SANDWICHES
$3______________
MOCHI CRUNCH
$2 _____________
$4.50 LARGE _____
$3 ____________
GUMMY CRAWLERS
$3 ____________
MILD DUDS
$2.25 _____________
RAISINETES
$2.25 _____________
SNO CAPS
$2.25 _____________
TWIX
$1.25 SMALL ________
$2.25 SHARE _______
SNICKERS
$1.25 SMALL ________
$2.25 SHARE _______
M&M PLAIN
$1.25 SMALL ________
$2.25 SHARE _______
M&M PEANUT
$1.25 SMALL ________
$2.25 SHARE _______
KIT KAT
$1.25 SMALL ________
$2.25 SHARE _______
REESE’S PEANUT BUTTER CUPS
$1.25 SMALL ________
$2.25 SHARE _______
REESE’S PIECES
$2.25 _________
RED VINES
$1.25 _________
$1.25 SNACKS #____ X $1 .25 =
$______
XTREME SOUR BELTS
$1.25 _________
$2 SNACKS
$______
SOUR PATCH KIDS
$1.25 _________
$2.25 SNACKS #____ X $2.25 = $_____
BREAKDOWN
#____ X $2 =
$2.50 SNACKS #____ X $2.50 = $_____
$3.00 snacks
#_____ X $3.00
$3.50 snacks
#______X $3.50 = $______
$4.50 snacks
#_____ X $4.50 = $_____
TOTAL CHARGE
= $_____
$_________