NCJC Family and Youth High Holiday Programs and Services Registration 2018/5779
In preparation for our family and youth High Holiday programs and servcices, we kindly ask that you complete this registration form to the best of your ability. We look forward to having you and your family join us for any or all of the High Holidays.  If you have any questions please contact Rabbi Ruberg in the office at 845-638-9600 x110 or email Ariana Keyes at ncjc@newcityjc.org.
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Individual/Family Contact Information
Please complete the contact information below so that we may be in touch with you regarding your reservation.
Last Name *
Last name of the person completing this form
First Name *
Email *
Please include an email address for the person completing this form
Phone *
Please include a phone number for the person completing this form
Address *
Please include an address where we can send the tickets.  If you need to make alternate arrangements please write "contact me" and we will be in touch regarding delivery of your tickets.
Services/Program Selection
Please select all services and/or programs you hope to attend.
Daytime Service/Program Selection for Rosh Hashana Day and Yom Kippur Day. *
The following services and programs take place during the day on Rosh Hashanah, September 10th & 11th and Yom Kippur, September 19th from 10:30am-12:00pm. Please select all that might apply.
Required
BACK FOR 2018: Neilah Havdallah, Shofar Blowing and Glow Stick Party on Yom Kippur Evening *
This fun program celebrating the end of Yom Kippur will take place from 7:10pm - 7:40pm on Wednesday night, September 19th.  Kids and adults of all ages are invited to join.  Those who want to blow shofar are invited to bring their own.
How many ADULTS will be in your party? *
Please write a number (ex. 1, 2, 3) including the registrant if applicable.
(LAST NAME, FIRST NAME) of each adult who will be attending a family service. *
This is so we can make name tags
How many CHILDREN will be attending? *
Please write a number (ex. 1, 2, 3)
NAME(S) and AGE(S) of EACH CHILD who will be attending. *
Please write first name, last name and ages of all children attending (ex. Jacob Cohen, 5, Rebecca Levi, 11)
Do you need NCJC Family High Holiday Program Tickets for entry on the Holidays? *
NCJC Family Tickets are only needed for those who do not have tickets for either of the main services.  Children do not need a ticket.  One ticket per adult.  Adults require photo ID along with a ticket to enter the building
Required
If you answered "Yes," how many adult family tickets do you need? *
Please write the number of tickets you will need.  If you do not need any tickets write "0"
If you answered "Yes" to the previous question, how would you like to receive your Family Tickets? If you answered "No" select the last option. *
NCJC Family Tickets are only needed for those who do not have tickets for either of the main services.  Children do not need a ticket.  One ticket per adult.   Adults require photo ID along with a ticket to enter the building. Tickets cannot be mailed after September 5th at 12:00pm.  If you cannot pickup your tickets please call 8456389600 x101 for assitance.
Required
How did you hear about NCJC Family High Holiday Programming? *
Check off all that apply
Required
All NCJC Family and Youth High Holiday Programs are open to the community at no cost due to the generosity of others.  Please consider making a donation to help support family and youth programming at NCJC so that more families may have the chance to experience innovative and fun Jewish programs.  We will contact you at a later date for payment options.  Thank you in advance for your generosity. *
Please write the dollar amount you wish to pledge in the space below or just click the link above.  If you cannot or do not wish to contribute, please just write "0"
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