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High Holidays Registration
Please verify reCaptcha before submitting the form.
Registration Form for the High Holidays
*
First Name
*
Last Name
*
Email
Mobile
Address
City
State
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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District of Columbia
Florida
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Ohio
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Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Registration for Rosh-Hashanah & Yom Kippur
*
Will you attend the Rosh Hashanah?
Please Select One
YES
NO
*
Will you attend the Yom Kippur?
Please Select One
YES
NO
*
Will you need Reserved Chairs?
Please Select One
YES
NO
* Reserved Chairs will include your name on the number of chairs you need
*
Select who will attend the High Holidays?
Please Select One
Adults
Adults_and_Children
Family
*
Select who will attend the High Holidays?
Please Select One
Adults
Adults_and_Children
Family
* The Family option cost $100 and includes two Reserved Chairs
* Additional Reserved Chairs cost $50 / per chair
*
Select the Number of Chairs which are Not Reserved
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*
Select the Number of Chairs to Reserve
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$50 / Per Reserved Chair
Select the Number of Chairs to Reserve
2
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5
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10
* Specify here if you need additional Reserved Chairs
* Additional chairs cost $50 / Per Reserved Chair
Will the Children attend the children program?
No
Yes
*
Select the Number of Children attending the Children Program
Please Select One
1
2
3
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5
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8
Registration for the Children Program
*
Full Name
*
Select the Child Age
0
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Does the child have food Allergy? If yes, please provide details.
*
Full Name
*
Select the Child Age
0
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Does the child have food Allergy? If yes, please provide details.
*
Full Name
*
Select the Child Age
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Does the child have food Allergy? If yes, please provide details.
*
Full Name
*
Select the Child Age
0
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Does the child have food Allergy? If yes, please provide details.
*
Full Name
*
Select the Child Age
0
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Does the child have food Allergy? If yes, please provide details.
*
Full Name
*
Select the Child Age
0
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18
Does the child have food Allergy? If yes, please provide details.
*
Full Name
*
Select the Child Age
0
1
2
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5
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Does the child have food Allergy? If yes, please provide details.
*
Full Name
*
Selectthe Child Age
0
1
2
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Does the child have food Allergy? If yes, please provide details.
Sponsorship Opportunities
Sponsorship Options
Children Program - $36
Security - $180
Facility - $180
Total
Sat, December 2 2023 19 Kislev 5784