Erev Shabbat Registration

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* First Name

* Last Name

* Email

* Cell Phone

* Which Shabbat Service are you attending?

* How many from your family will be attending Services?

* Names of those Attending

Please answer the following questions. If any of the answers is "YES" you will not be able to attend services. If you answer "NO" and before services this changes to "YES" please contact the Temple office to remove you from the attendee list.

* Have any of the attendees had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days?

YesNo

* Have any of the attendees experienced any of the following symptoms in the last 14 days: fever, cough, shortness of breath, loss of taste or smell, or other respiratory problem?

YesNo

* Have you traveled to any of the states on the NJ Travel Advisory List over the last 14 days?

YesNoClick here for travel advisory list

Wed, September 30 2020
12 Tishrei 5781

Wed, September 30 2020 12 Tishrei 5781