BDJ Minyan Attendance Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Who can attend?

Adults and teens in their Bar/Bat Mitzvah year and older who are not otherwise at risk may attend. At-Risk Populations, including people over 65, are strongly discouraged from attending in person. Should they choose to attend, they should speak with a medical professional first to understand fully the risks associated with doing so. Priority will be given to those saying kaddish (either during aveilut or for a yahrzheit) and then to members. Non-members will be allowed to register if there are open spaces still available. Anyone who is currently testing positive for Covid-19, has symptoms that could be Covid-19 or who has been in recent contact with someone who has tested positive for Covid-19 (within two weeks) will not be able to attend. In addition, anyone feeling ill for any reason will not be able to attend.

Email *

Name *

Additional Participants

Phone Number *

All checkboxes MUST be checked in order to be able to sign up to attend minyan. I attest that... *

Now and on the day(s) I am attending minyan: I am not feeling ill. I have not tested positive for Covid-19, have symptoms that could be Covid-19 or have been in contact with someone who has tested positive for Covid-19 in the past two weeks.

I will wear a face mask at all times.

I agree to have my temperature checked or will have already taken my temperature that day prior to entering. A temperature over 100.3 will not be allowed.

I will follow all instructions given by the clergy and/or gabbaim.

I will maintain social distancing of 6 feet or more at all times, including when entering and exiting the building.

I will arrive on time to ensure the minyan.

Required

If I test positive or am suspected positive (i.e. - have COVID symptoms and awaiting test results) for COVID, I will immediately notify BDJ *

I agree that attending minyan is my choice. I therefore release B'nai David-Judea (and any backyard hosts) from any and all liability for the unintentional exposure or harm due to COVID-19. *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms