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High Holiday Registration & Donations - 2017/5778

Please register to help us plan effectively.   This one form allows you to reserve space for guests, for handicapped parking, and other special needs, children’s programming, our Yizkor Memorial booklet for members, Break-the-Fast and to donate to support our congregation.  Please make sure to complete all pertinent sections of the form.

Please list below any guests you are bringing to High Holiday services, any children attending the youth program, and any donations you wish to make for the holidays.  We hope you will join us for our Community Break –the-Fast.  Please indicate the number of adults and children who you expect will come.  You must enter the first and last name of the person registering, as well as an amount for the High Holiday Appeal. ($0 is allowed).

Please select whether you are a member in good standing of Congregation Beth Hatikvah.

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Welcome to CBH!  We’re delighted to have you share the holidays with us. Please note that we suggest a donation of $300 per person.

First Name of person doing registration

Last Name of person doing registration

Street address of person doing registration

City of person doing registration

State of Person doing registration

Zip code of person doing registration

Email address of person doing registration

Phone number of person doing registration

No guests - skip to next section.

Guest Information

No guests - skip to next section.

Additional Family Member Information

First name of Guest 1

Last name of Guest 1

Choose whether Guest 1 is an adult or a child

No more guests - skip to next section.

First name of Guest 2

Last name of Guest 2

Choose whether Guest 2 is an adult or a child

No more guests - skip to next section.

First name of Guest 3

Last name of Guest 3

Choose whether Guest 3 is an adult or a child

No more guests - skip to next section.

First name of Guest 4

Last name of Guest 4

Choose whether Guest 4 is an adult or a child

No more guests - skip to next section.

First name of Guest 5

Last name of Guest 5

Choose whether Guest 5 is an adult or a child

No more guests - skip to next section.

First name of Guest 6

Last name of Guest 6

Choose whether Guest 6 is an adult or a child

Please check this if you require a handicap parking space.

Pleaseenter any other special needs you may have.

Enter the number of guests in this category ($0 per guest)
Enter the number of guests in this category ($50 per guest)

Enter the number of guests in this category ($75 per guest)

Enter the number of adults you are registering here.  The system will add $300 per adult to the amount due as a donation to Congregation Beth Haitkvah.  If you would prefer to donate less, please enter 0 here, and we will follow up with you after you register.

High Holiday Children's Program

Activities for children from Pre-K through 4th grade and babysitting will be available on the first day of Rosh Hashanah and on Yom Kippur morning. The suggested donation is $10/child for each day. Enter information about children who will be part of the children's program.
No children? - skip to next section.

Enter name of Child 1 attending children's program

Enter age of Child 1 for children's program

Enter any special needs for Child 1

No more children? - skip to next section.

Enter name of Child 2 attending children's program

Enter age of Child 2 for children's program

Enter any special needs for Child 2

No more children? - skip to next section.

Enter name of Child 3 attending children's program

Enter age of Child 3 for children's program

Enter any special needs for Child 3

No more children? - skip to next section.

Enter name of Child 4 attending children's program

Enter age of Child 4 for children's program

Enter any special needs for Child 4

Enter the number of child-events (e.g., 2 children attending both Rosh Hashanah and Yom Kippur = 4 child-events) (A donation of $10 for each child-event is suggested for the first 3 children in a family)

Yizkor Memorial Booklet

It is customary to honor loved ones who have passed away by having their names listed in a Yizkor Memorial Booklet that is distributed on Yom Kippur. Please list below the names you would like included in the booklet and their relationship to you. The deadline for submission is September 15th.  If you have more than six names, please contact Arleen Soldati at arleen.soldati@gmail.com
Example:
In memory of: Susan Cohen
Relationship: Mother of Sam Cohen
No entries for Yizkor - skip to next section

Enter the name of Person 1 being remembered

Enter the relationship of Yizkor 1 (e.g., mother of Sam Cohen)

No more entries for Yizkor - skip to Yizkor Total

Enter the name of Person 2 being remembered

Enter the relationship of Yizkor 2 (e.g., mother of Sam Cohen)

No more entries for Yizkor - skip to Yizkor Total

Enter the name of Person 3 being remembered

Enter the relationship of Yizkor 3 (e.g., mother of Sam Cohen)

No more entries for Yizkor - skip to Yizkor Total

Enter the name of Person 4 being remembered

Enter the relationship of Yizkor 4 (e.g., mother of Sam Cohen)

No more entries for Yizkor - skip to Yizkor Total

Enter the name of Person 5 being remembered

Enter the relationship of Yizkor 5 (e.g., mother of Sam Cohen)

No more entries for Yizkor - skip to Yizkor Total

Enter the name of Person 6 being remembered

Enter the relationship of Yizkor 5 (e.g., mother of Sam Cohen)

We suggest a donation of $18 for each name listed in the Yizkor Booklet. This will be automatically calculated.

High Holiday Appeal

Like all synagogues, CBH depends on the generosity of its members to maintain our community.  Dues and fees cover only a part of our expenses.  At the High Holidays, we ask you to give as generously as you can to the High Holiday Appeal so we can continue to support all our services and programs as well as our beautiful building. 

Please help us build a wonderful new year with a generous donation to our High Holiday Appeal. If you prefer to not make a donation or pledge now, an entry in this field of $0 is still required.

Community Break-The-Fast Pot Luck Dinner

Our Community Break-the-Fast Dinner will be immediately after Yom Kippur services end.  Please indicate the number of adults and children in your party who will attend.  More information  about what to bring will be available in September.

Please enter the number of people attending the Break-the-Fast age 10 or over

Please enter the number of people attending the Break-the-Fast under the age of 10
Thu, December 14 2017 26 Kislev 5778