Seat Reservations and High Holiday Donations

Full Name*

First Name Last Name

E-mail*

Phone Number*

Address*

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

Please check the services that you will be attending:*

Rosh Hashanah Evening Services & A Taste of the HolidaysRosh Hashanah 1st Day ServicesRosh Hashanah 2nd Day ServicesRH Family Circle + Shofar and Taste of the HolidaysCommunity Tashlich at B.R.Yom Kippur Evening - Kol Nidrei ServicesYom Kippur - Morning ServicesYom Kippur Day - Mincha and NeilaBreak the Fast Social - by reservation

Number of attendees for Rosh Hashanah Evening Services & A Taste of the Holidays*

Number of attendees for Rosh Hashanah 1st Day Services*

Number of attendees for Rosh Hashanah 2nd Day Services*

Number of attendees for RH Family Circle + Shofar and Taste of the Holidays*

Number of attendees for Community Tashlich at B.R.*

Number of attendees for Yom Kippur Evening - Kol Nidrei Services*

Number of attendees for Yom Kippur - Morning Services*

Number of attendees for Yom Kippur Day - Mincha and Neila*

Number of attendees for Break the Fast Social*

I would like to sponsor

Questions/Comments:

Total

$0.00

Payment*

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I acknowledge the highly contagious nature of COVID-19 and I voluntarily assume the risk that I and members of my party could be exposed or infected by COVID-19 by participating in any of Chabad-Lubavitch WNC's High Holiday programs. I declare that I and members of my party are participating voluntarily in Chabad-Lubavitch of WNC's High Holiday programs. If I or anyone in my household or any member of my party or anyone in their households experience any cold or flu-like symptoms (including fever, cough, sore throat, respiratory illness, difficulty breathing), I and/or members of my party will not attend any of Chabad-Lubavitch of WNC's High Holiday programs until at least 14 days have passed since those symptoms were last experienced. If I or any member of my household, or any member of my party or their household members travelled to or had a lay-over in any country outside of the United States, I and/or members of my party will not attend any of Chabad-Lubavitch of WNC's High Holiday programs until at least 14 days have passed since the aforementioned traveller returned home. I and all members of my party agree to observe and abide by the requirements and policies of Public health and other governmental authorities and to those special safety regulations put in place by Chabad-Lubavitch WNC. I and all members of my party agree that by submitting this form we are giving up our legal rights to sue or make any claim whatsoever against Chabad-Lubavitch WNC and its officers and directors, in the event that I or any member of my party contracts the Covid-19 Coronavirus. I understand that members of the same gender in my party will be seated together as members of the same household with social distancing between my party and other parties but not between members of my party.

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