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5785 High Holiday Member Form
Please verify reCaptcha before submitting the form.
High Holiday Attendance
In preparation for this year's High Holidays, please read each question carefully and indicate how you will be joining us. This year, we will continue to offer a streaming option.
Your Membership includes High Holiday Tickets for those in your Household.
Note- 1/4 of your Membership Dues must be paid or you must be enrolled in a payment plan as of September 1, 2024 to receive your High Holiday Tickets.
This form is due
Wednesday, August 21, 2024
.
*
First Name
Last Name
*
Email
Rosh Hashanah
Select all that apply
Erev Rosh Hashanah - Wednesday, October 2, 2024 @ 6:30pm
I/We plan on attending services in-person at Kol Shalom
I/We plan on attending services via Livestream
Number of members from my Household attending (Erev)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Rosh Hashanah Day One - Wednesday, October 3, 2024 @ 8:30am
I/We plan on attending services in-person at Kol Shalom
I/We plan on attending services via Livestream
Children's Services Pre-K - 2nd Grade @ 10:45am
Children's Services 3rd-7th Grade @ 11:45am
Number of members from my Household attending (Day One)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Rosh Hashanah Day Two- Wednesday, October 4, 2024 @ 8:30am
I/We plan on attending services in-person at Kol Shalom
I/We plan on attending services via Livestream
Number of members from my Household attending (Day Two)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Yom Kippur
Select all that apply
Kol Nidre - Friday, October 11, 2024 @ 6:30pm
I/We plan on attending services in-person at Kol Shalom
I/We plan on attending services via Livestream
Number of members from my Household attending (Kol Nidre)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Yom Kippur Morning- Saturday, October 12, 2024 @ 9:00am
I/We plan on attending services in-person at Kol Shalom
I/We plan on attending services via Livestream
Children's Services Pre-K -2nd Grade @ 11:00am
Children's Services 3rd-7th Grade @ 11:55am
Including morning services, Yizkor and the Annual Seminar.
(Please Note: The Annual Seminar is a benefit for members and their guests. If you have any questions call the Kol Shalom Office.)
Number of members from my Household attending (YK morning)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Yom Kippur Afternoon- Saturday, October 12, 2024 @ 4:45pm
I/We plan on attending services in-person at Kol Shalom
I/We plan on attending services via Livestream
Including Mincha, Neila, Maariv, and the Final Shofar Blast
Number of members from my Household attending (YK evening)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Click here for Guest Tickets or Babysitting
Please Select One
Guest Tickets: In-Person
Guest Tickets: Virtual
Babysitting
Guest Tickets
A Guest can include Adult Children, Grandchildren, Relatives or Friends.
Erev Rosh Hashanah
- Wednesday, October 2, 2024
@ 6:30pm
Number of Guests attending (Erev)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Number of Children Guests attending (Erev)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Under age 13
Rosh Hashanah Day One
- Thursday, October 3, 2024
@ 8:30am
Number of Guests attending (Day One)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Number of Children Guests attending (Day One)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Under age 13
Rosh Hashanah Day Two
- Friday, October 4, 2024
@ 8:30am
Number of Guests attending (Day Two)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Number of Children Guests attending (Day Two)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Under age 13
Guest 1 First Name
Guest 1 Last Name
Guest 1 Email
Guest 1 Phone Number
Guest 2 First Name
Guest 2 Last Name
Guest 2 Email
Guest 2 Phone Number
Guest 3 First Name
Guest 3 Last Name
Guest 3 Email
Guest 3 Phone Number
Guest 4 First Name
Guest 4 Last Name
Guest 4 Email
Guest 4 Phone Number
Kol
Nidre
- Friday, October 11, 2024 @ 6:30pm
Number of Guests attending (KN)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Number of Children Guests attending (KN)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Under age 13
Yom Kippur Morning
- Saturday, October 12, 2024 @ 9:00am
Number of Guests attending (AM)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Number of Children Guests attending (AM)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Under age 13
Yom Kippur Afternoon
- Saturday, October 12, 2024 @ 4:45pm
Number of Guests attending (PM)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Number of Children Guests attending (PM)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Under age 13
Guest 5 First Name
Guest 5 Last Name
Guest 5 Email
Guest 5 Phone Number
Guest 6 First Name
Guest 6 Last Name
Guest 6 Email
Guest 6 Phone Number
Guest 7 First Name
Guest 7 Last Name
Guest 7 Email
Guest 7 Phone Number
Guest 8 First Name
Guest 8 Last Name
Guest 8 Email
Guest 8 Phone Number
Children's Services
Rosh Hashanah - Day One
Pre-K to 2nd grade @10:45am
3rd to 7th grade @ 11:45am
Number of Children attending (PreK-2nd Grade)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Number of Children attending (3rd-7th Grade)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Names of children attending (RH)
Children's Services
Yom Kippur
Pre-K to 2nd grade @11:00am
3rd to 7th grade @ 11:55am
Number of Children Guests (PreK-2nd Grade, YK)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Number of Children Guests (3rd-7th Grade, YK)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Names of children attending (YK)
Adults
$125 per Holiday per person
Total Number of Adults In-Person ($)
0
1
2
3
4
5
6
7
8
9
10
Rosh Hashanah
0
1
2
3
4
5
6
7
8
9
10
Yom Kippur
Livestream $50 per Screen per Holiday
0
1
2
3
4
5
6
7
8
9
10
Rosh Hashanah
0
1
2
3
4
5
6
7
8
9
10
Yom Kippur
Children
$65 per Holiday per person
Under age 13
Total Number of Children In-Person ($)
0
1
2
3
4
5
6
7
8
9
10
Rosh Hashanah
0
1
2
3
4
5
6
7
8
9
10
Yom Kippur
Babysitting (2-5 years)
I need babysitting for the following Holidays:
Rosh Hashanah Day One- Thursday, October 3, 2024 @ 9:30am - 1:00pm
Rosh Hashanah Day Two- Friday, October 4, 2024 @ 9:30am - 1:00pm
Kol Nidre - Friday, October 11, 2024 @ 6:30pm
Yom Kippur Morning - Saturday, October 12, 2024 @ 10:00am - 1:30pm
Samantha from the Kol Shalom office will follow up with additional questions.
Number of Children needing Babysitting
0
1
2
3
4
5
6
7
8
9
10
Additional Opportunities:
Mahzor Commemoration ($36 each)
None
1 Mahzor
2 Mahzorim
3 Mahzorim
4 Mahzorim
1 Large Print ($72)
Dedication 1
Select
In honor of
In memory of
Name(s)
Dedication 2
Select
In honor of
In memory of
Name(s)
Dedication 3
Select
In honor of
In memory of
Name(s)
Dedication 4
Select
In honor of
In memory of
Name(s)
Select all that apply:
Mercaz Individual ($36)
Mercaz Family ($54)
Women's League for Conservative Judaism ($15)
Lulav and Etrog ($45)
Check if you require Handicap Parking (space is limited)
Check if you require Handicap Parking (space is limited)
Notes to the Office
Total
By Submitting this form, I agree to the charges above (if applicable) billed to my account and making a timely payment.
Sat, January 18 2025
18 Tevet 5785
Today's Calendar
Winter Yoga Series
: 12:00am
Book of Samuel Class with Rabbi Werbin
: 12:00am
Havdalah
: 6:04pm
Friday Night
Candle Lighting
: 5:02pm
Shabbat Day
Winter Yoga Series
: 12:00am
Book of Samuel Class with Rabbi Werbin
: 12:00am
Havdalah
: 6:12pm
Upcoming Programs & Events
Sep
12
Book of Samuel Class with Rabbi Werbin
Thursday, Sep 12 1:00pm
Jan
14
Winter Yoga Series
Tuesday, Jan 14 11:30am
Jan
31
Young fa- MEAL -ies Shabbat Experience January 31
Friday, Jan 31 5:30pm
Feb
1
IMF: Footnote
Motzei Shabbat, Feb 1 7:00pm
Feb
7
Congregational Mexican Themed Dinner
Friday, Feb 7 6:30pm
This week's Torah portion is
Parshat Shemot
Shabbat, Jan 18
Candle Lighting
Shabbat, Jan 18, 4:56pm
Havdalah
Motzei Shabbat, Jan 18, 6:04pm
Shabbat Mevarchim
Shabbat, Jan 25
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Sat, January 18 2025 18 Tevet 5785
