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High Holidays Registration

Full Name*
First Name Last Name
E-mail*
Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
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Rosh Hashana Dinner | Friday Night, September 11th – 7:00pm
Number of Adult Attendees*
Name of Adult 1
Name of Adult 2
Name of Adult 3
Name of Adult 4
Name of Adult 5
Number of Children Attendees*
Name of Child 1
Name of Child 2
Name of Child 3
Name of Child 4
Name of Child 5
Rosh Hashana Day One | Saturday, September 12th
Morning Services @ 10:00am
Number of Adult Attendees*
Name of Adult 1
Name of Adult 2
Name of Adult 3
Name of Adult 4
Name of Adult 5
Number of Children Attendees*
Name of Child 1
Name of Child 2
Name of Child 3
Name of Child 4
Name of Child 5
Rosh Hashana Day Two | Sunday, September 13th
Morning Services @ 10:00am
Number of Adult Attendees*
Name of Adult 1
Name of Adult 2
Name of Adult 3
Name of Adult 4
Name of Adult 5
Number of Children Attendees*
Name of Child 1
Name of Child 2
Name of Child 3
Name of Child 4
Name of Child 5
Yom Kippur Eve | Sunday, September 20th
Kol Nidre @ 6:30pm
Number of Adult Attendees*
Name of Adult 1
Name of Adult 2
Name of Adult 3
Name of Adult 4
Name of Adult 5
Number of Children Attendees*
Name of Child 1
Name of Child 2
Name of Child 3
Name of Child 4
Name of Child 5
Yom Kippur - Monday, September 21st
Morning Services
Number of Adult Attendees*
Name of Adult 1
Name of Adult 2
Name of Adult 3
Name of Adult 4
Name of Adult 5
Number of Children Attendees*
Name of Child 1
Name of Child 2
Name of Child 3
Name of Child 4
Name of Child 5
Yom Kippur - Monday, September 21st

Evening Closing Service and Break-fast

Mincha @ 5:30pm | Neilah Closing Service @ 6:10pm & Final Shofar @ 7:12pm.
Followed by a delicious Break-fast @ 7:20pm!
Number of Adult Attendees*
Name of Adult 1
Name of Adult 2
Name of Adult 3
Name of Adult 4
Name of Adult 5
Number of Children Attendees*
Name of Child 1
Name of Child 2
Name of Child 3
Name of Child 4
Name of Child 5
Yom Kippur Break-Fast
Sponsorship Available

$540
How did you hear about this event?*
Any comments/feedback?
Optional Donation
There are no membership fees or tickets needed for the High Holiday services, donations are much appreciated to help cover the Holiday expenses.
Please consider a High Holiday sponsorship.
YES! I would like to bring High Holiday services and other Jewish experiences open to all!

$3,600$1,800$1,000$540$360$180$90$54$36$18
Total

$0.00 USD

Payment

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Rosh Hashana Dinner | Friday Night, September 11th – 7:00pm

Rosh Hashana Day One | Saturday, September 12th

Rosh Hashana Day Two | Sunday, September 13th

Yom Kippur Eve | Sunday, September 20th

Yom Kippur - Monday, September 21st

Optional Donation