COVID-19 Synagogue Registration Form Oct 2020
Please keep in mind the Rules and Regulations shown below when registering to come to the Synagogue.

Due to the current situation, in order to pray in our Synagogue everyone must be registered until further notice.

If you are coming from out of state, please contact the office after filling out this form for further instructions.
Email address *
Last Name *
First Name *
Age *
Phone Number *
Home Address *
Are you planning to come with someone else from your family? Please give us their name and age as well. *
Have you or anyone in your family been diagnosed with COVID-19? *
Have you been tested for COVID-19 and Antibodies? Please explain. *
Will your be joining us from out of state? *
A copy of your responses will be emailed to the address you provided.
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