Shabbat Registration June 2021 - Form

Reservations are Required.

* First Name

* Last Name

* Preferred Phone Number

* Email

I/We will be attending Friday , June 4th

NoYes

* How many people (including yourself) are in your group June 4th

* Please provide all the names in your group June 4th

I/We will be attending Friday , June 11th

NoYes

* How many people (including yourself) are in your group June 11th

* Please provide all the names in your group June 11th

I/We will be attending Friday , June 18 th

NoYes

* How many people (including yourself) are in your group June 18th

* Please provide all the names in your group June 18th

I/We will be attending Friday , June 25th

NoYes

* How many people (including yourself) are in your group June 25th

* Please provide all the names in your group June 25th

Please acknowledge the following for your party - On the day of the service I/ We wish to attend, I/ We understand:

* I/We will not be able to attend if currently testing positive for Covid-19, have symptoms that could be Covid-19 or have been in recent contact with someone who has tested positive for Covid-19 (within two weeks) unless cleared by a physician to do so

I/We will not be able to attend if currently testing positive for Covid-19, have symptoms that could be Covid-19 or have been in recent contact with someone who has tested positive for Covid-19 (within two weeks) unless cleared by a physician to do so

* If I/We are feeling ill for any reason, I/We will not be able to attend. *In the event any of these apply, please contact the office at 714-628-4600 as soon as possible.*

If I/We are feeling ill for any reason, I/We will not be able to attend. *In the event any of these apply, please contact the office at 714-628-4600 as soon as possible.*

* I/We will wear a face mask and physical distance

I/We will wear a face mask and physical distance

I wish to make a donation to the following fund:

Amount