High Holiday & Event Reservation Form 2021-5782

Full Name*

First Name Last Name

E-mail*

Phone Number*

Area Code Phone Number

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Attending:

Attending Both Holidays Attending Rosh Hashanah Community Lunch Attending Rosh Hashanah Attending Yom Kippur Attending Yom Kippur Neilah & Dessert Break the Fast

Names of all attendees:

Please select all that apply: No Jewish family will be turned away due to lack of funds.

Adult I $350 Adult II $350 Adult III $350 Adult IV $350 Children under Bar/Bat Mitzvah ages (Free) Chai Society Member (over $150 a month and above) Seats are included at no additional charge. I cannot attend High Holidays, below is my donation. I need financing or a specialized price, please contact me.

I would like to make a donation of:

$

Number of names to include:

English and Hebrew name:

Date of Passing, Year and time of day:

Jewish Yahrzeit date if known:

Hebrew name & father’s & mother’s Hebrew name:

I would like to make a donation of:

Community Sukkot Shabbat Dinner - Number of adults:

Community Sukkot Shabbat Dinner - Number of children:

Total Due for Sukkot Shabbat Dinner:

$18 $36 $50

I would like to join as a sponsor:

$180

Simchat Torah Celebration (free):

I would like to join as a sponsor:

$180

I would like to contribute towards Security costs at Chabad for the High Holidays, please accept my donation of:

$

I am interested in learning more about:

Sundays 9:00 AM-10:30 AM $600 For classes for the year CTEEN 7th-12th grade monthly activities Aleph Preschool for ages 2-5 years

Course description.

Number of registrants: (Registration $65 per person, includes Textbook and Deli Dinner)

Please accept my monthly donation of:

Total

$0.00

Payment

Credit Card Paypal Check

Postal / Zip Code

Country

High Holiday Schedule
Community Sukkot Shabbat Dinner | Simchat Torah Celebration | Israel Lecture
New Course: Outsmarting Anti-Semitism

High Holiday & Event Reservation Form 2021-5782

Seats by Reservation • No Membership • Security

High Holiday Reservations

YIZKOR Memorial Booklet

YOM KIPPUR APPEAL

Community Sukkot Shabbat Dinner

SIMCHAT TORAH Community Celebration and Dinner

SECURITY:

Aleph Preschool, HEBREW SCHOOL, and Teens

JLI ADULT EDUCATION 4 WEEK COURSE “Outsmarting Antisemitism: How to Beat it with Purpose, Positivity and Jewish Pride”

JOIN THE CHAI SOCIETY: Monthly Giving to Your Community