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Shabbat Under the Stars: Friday, July 17th

Please read our safety protocols HERE.

Please note this form is meant for temple members who are interested in attending our in person outdoor service on Friday, July 17th. If you prefer to attend another Friday or would like to Live-stream services from your home, you do not need to fill out this form.

This form does not guarantee that you will be able to attend this week. Seating is limited and we will be notifying everyone who will be able to join by Wednesday (end of day).

First Name:

Last Name:

Email Adress:

Best Contact Number:

The people only in your immediate family attending:

if under 18, please list ages.

I have read and consent to the safety protocols

Yes

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total: