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Your Name
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First
Last
Spouse's Name
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Last
Are you a Temple Shalom member?
(Required)
Yes
No
No (active duty military or war college)
No (student)
Contact
Email
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Phone
Children
Are you interested in childcare / childrens' programming?
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Yes
No
For how many children?
(Required)
1
2
3
4
5
6
7
8
9
Please select the services you're interested in for childcare/programming:
(Required)
Rosh Hashanah Morning Sept. 23
Rosh Hashanah Morning Sept. 24
Yom Kippur Morning Oct. 2
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Guests
Please list any guests you plan to bring with you so we can add them to our list.
Guest List
Name
Email
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We want to affirm our commitment to welcoming all members of our community…
Is there anyone in your party who may require assistance entering or exiting the Synagogue?
(Required)
Yes
No
We’ll use this information in the unlikely event of an emergency.
Services
Which services do you plan on attending?
(Required)
Erev Rosh Hashanah
Rosh Hashanah Morning I
Rosh Hashanah Morning II
Erev Yom Kippur
Yom Kippur
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Tickets
Type of Tickets
(Required)
Family Tickets
Individual Tickets
Holidays to Attend
(Required)
Both Rosh Hashanah and Yom Kippur – $180
Just Rosh Hashanah – $100
Just Yom Kippur – $100
Holidays to Attend
(Required)
Both Rosh Hashanah and Yom Kippur – $80
Just Rosh Hashanah – $50
Just Yom Kippur – $50
Military / Student Discount
Price:
$0.00
Total to be Charged
Credit Card
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