Name *

First Name

Last Name

Phone Number *

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High Holy Days Attending in Person *

Erev Rosh Hashanah 9/25 7:00PM

Day 1 Rosh Hashanah 9/26 9:00AM

Day 2 Rosh Hashanah 9/27 9:00AM

Erev Yom Kippur/Kol Nidre 10/4 6:00PM

Yom Kippur Morning 10/5 9:00AM

Yom Kippur Evening 10/5 5:45PM

COVID Policy *

By checking the box, I attest that I have read and will be fully vaccinated and in compliance with B'nai Jacob's Updated COVID Policy when I attend this in-person event. Furthermore, I attest that the preceding is true for any other adult(s) who attend(s) this event with me.