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5786 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. All Services will be held at Kol Shalom. Please consider carpooling and allowing ample timing for parking.
Your Membership includes High Holiday Tickets for those in your Household.
Note- 25% of your Membership Dues must be paid and you must be enrolled in a payment plan as of September 1, 2025 to receive your High Holiday Tickets.
This form is due
Sunday, August 24, 2025
.
*
First Name
Last Name
*
Email
Rosh Hashanah
Select all that apply
Erev Rosh Hashanah - Monday, September 22, 2025 @ 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 - Tuesday, September 23, 2025 @ 8:45am
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 One)
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Rosh Hashanah Day One - Children's Services
Children's Services Pre-K - 3rd Grade @ 10:30am
Children's Services 4th-7th Grade @ 11:30am
Names and ages of children attending children's services (RH)
Rosh Hashanah Day Two- Wednesday, September 24, 2025 @ 8:45am
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 - Wednesday, October 1, 2025 @ 6:45pm
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*- Thursday, October 2, 2025 @ 9:00am
I/We plan on attending services in-person at Kol Shalom
I/We plan on attending services via Livestream
*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 Morning- Children's Services
Children's Services Pre-K -3rd Grade @ 10:45am
Children's Services 4th-7th Grade @ 11:45am
Names and ages of children attending children's services (YK)
Yom Kippur Afternoon/Evening*- Thursday, October 2, 2025 @ 5:00pm
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 In-Person: including Adult Children, Grandchildren, Relatives or Friends
Guest Virtual
Babysitting
Guest Tickets
A Guest can include Adult Children, Grandchildren, Relatives or Friends.
Total Adults
$150 per Holiday per person
Total Number of Adults In-Person ($)
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
Total Children
$65 per Holiday per child
Ages 3-12 years
(2 and under are free)
Total Number of Children In-Person ($)
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
Erev Rosh Hashanah
- Monday, September 22, 2025
@ 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
- Tuesday, September 23, 2025
@ 8:45am
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
Children's Services
Rosh Hashanah - Day One
Pre-K to 3rd grade @10:30am
4th to 7th grade @ 11:30am
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 and ages of children attending (RH)
Rosh Hashanah Day Two
- Wednesday, September 24, 2025
@ 8:45am
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
Adult Guest 1 First Name
Guest 1 Last Name
Guest 1 Email
Adult Guest 2 First Name
Guest 2 Last Name
Guest 2 Email
Adult Guest 3 First Name
Guest 3 Last Name
Guest 3 Email
Adult Guest 4 First Name
Guest 4 Last Name
Guest 4 Email
Adult Guest 5 First Name
Guest 5 Last Name
Guest 5 Email
Kol
Nidre
-
Wednesday, October 1, 2025
@ 6:45pm
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
- Thursday, October 2, 2025 @ 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
Children's Services
Yom Kippur
Pre-K to 3rd grade @10:45am
4th to 7th grade @ 11:45am
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 and ages of children attending (YK)
Yom Kippur Afternoon
- Thursday, October 2, 2025 @ 5:00pm
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
Adult Guest 6 First Name
Guest 6 Last Name
Guest 6 Email
Adult Guest 7 First Name
Guest 7 Last Name
Guest 7 Email
Adult Guest 8 First Name
Guest 8 Last Name
Guest 8 Email
Adult Guest 9 First Name
Guest 9 Last Name
Guest 9 Email
Guest 10 First Name
Guest 10 Last Name
Guest 10 Email
I need babysitting for the following Holidays:
Rosh Hashanah Day One- Tuesday, September 23, 2025 @ 9:30am - 1:00pm
Rosh Hashanah Day Two- Wednesday, September 24, 2025 @ 9:30am - 1:00pm
Yom Kippur Morning - Thursday, October 2, 2025 @ 10:00am - 1:30pm
Samantha from the Kol Shalom office will follow up with additional questions.
Number of Children requiring Babysitting
0
1
2
3
4
5
6
7
8
9
10
Names of children and ages attending Babysitting
Babysitting (2-5 years)
I need babysitting for the following Holidays:
Rosh Hashanah Day One- Tuesday, September 23, 2025 @ 9:30am - 1:00pm
Rosh Hashanah Day Two- Wednesday, September 24, 2025 @ 9:30am - 1:00pm
Yom Kippur Morning - Thursday, October 2, 2025 @ 10:00am - 1:30pm
Samantha from the Kol Shalom office will follow up with additional questions.
Number of Children requiring Babysitting
0
1
2
3
4
5
6
7
8
9
10
Names of children and ages attending Babysitting
Additional Opportunities:
Mahzor Commemoration ($60 each)
None
1 Mahzor
2 Mahzorim
3 Mahzorim
4 Mahzorim
1 Large Print ($92)
Plus the cost of shipping
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 ($36)
Lulav and Etrog ($50)
High Holiday Donation ($)
(Optional)
Notes to the Office
For any add-ons, payment is due at completion of this form
Total
By submitting this form, I commit to paying 25% of my 2025–2026 dues. I agree to have the applicable charges from this form billed to my account and will make the payment in a timely manner before the start of Rosh Hashanah 2025.
Sun, August 31 2025
7 Elul 5785
Friday Night
Young fa- MEAL -ies Shabbat Experience September 5
: 6:00pm
Candle Lighting
: 7:15pm
Shabbat Day
Havdalah
: 8:22pm
Upcoming Programs & Events
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5
Young fa- MEAL -ies Shabbat Experience September 5
Friday, Sep 5 6:00pm
Sep
11
Securing Our Space: Strengthening Community Safety at Kol Shalom
Thursday, Sep 11 7:00pm
Sep
13
Selichot Evening
Shabbat, Sep 13 6:30pm
Sep
14
Shofar on the Roof, followed by Congregational BBQ, Pickleball, and Outdoor Games
Sunday, Sep 14 12:00pm
Nov
8
Gail Letzter Cultural Arts Weekend
Motzei Shabbat, Nov 8 8:00pm
This week's Torah portion is
Parshat Ki Teitzei
Shabbat, Sep 6
Candle Lighting
Friday, Sep 5, 7:15pm
Havdalah
Motzei Shabbat, Sep 6, 8:22pm
Erev Rosh Hashana
Monday, Sep 22
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Sun, August 31 2025 7 Elul 5785