High Holiday Registration Form - Chabad of the Main Line

LOOKING FORWARD TO CELEBRATING THE HOLIDAYS
TOGETHER AT CHABAD!
We will have a tent for the holidays to safely accommodate a larger crowd (optional masking).
There will also be a very limited indoor minyan (with masks) for the daytime davening on
both days of Rosh Hashanah and the day of Yom Kippur.
Full Name:*

First Name Last Name
E-mail:*
Which services will you be attending at Chabad Main Line?*

Rosh Hashanah Day 1 Rosh Hashanah Day 2 Yom Kippur All None
How many adults?*
Do you want to be part of the lottery for a smaller indoor day-time minyan? Limited crowd chosen by lottery from the respondents.

Yes No
How many children will you be bringing to services: ages 2-5?
How many children will you be bringing to services: boys 6 and up?
How many children will you be bringing to services: girls 6 and up?
Optional Holiday Donation:

$
Total:

$0.00

Payment:

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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