Tot Shabbat November 20 2021

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Please Pre-Register for our Hanukkah Tot Shabbat program
that will take place on Saturday, November 20th at 10:00 AM.
Members please log into your account before completing this form.

* First Name

* Last Name

* Email address

* Cell Phone number

* I/We are:

* Number of people that will be attending (including myself)

* Please provide us with the Full Names of everyone attending and the ages of your children

It is critical that if anyone in your family/group does not feel well, have had a fever or other COVID symptoms during the past week, or have had close contact with anyone diagnosed with COVID in the 14 days preceding services, kindly remain at home.

Although we will not be conducting on-site temperature checks, we trust that you will not take any unnecessary risks that may endanger the other families who will be attending this program. An inherent risk of exposure to COVID-19 exists in any public place where people are present. COVID-19 is a extremely contagious disease that can lead to severe illness and death. According to the CDC, senior citizens and Congregants with underlying medical conditions are especially vulnerable. By attending an in-person program at THS, you voluntarily assume all the risks related to exposure to COVID-19.

* COVID Waiver Agreement

COVID Waiver Agreement* I/We have read the COVID-19 information and waiver and accept full responsibility if we or anyone in our family is exposed to the disease while attending an in-person program at Temple Har Shalom.

Sat, April 20 2024 12 Nisan 5784