PHS Minyan Registration Form
Attendance will be confirmed by Rabbi Leener or a Board member ONLY. Please do NOT just show up. Thank you!

**Those over the age of 65 or in a high-risk group (ie, chronic lung disease or moderate to severe asthma, serious heart conditions, immunocompromised, severe obesity, diabetes, chronic kidney disease undergoing dialysis, liver disease, etc) should consult with their physician before signing up.**
Name *
Email *
Cell Phone # (**We will be using a WhatsApp group for live updates and announcements**) *
As we move into the fall which Shabbat day services would you most likely attend: *
9/11 Kabbalat Shabbat & Maariv (7:00pm) @505 Grand Ave
9/12 Tot Shabbat (10:00am) @Prospect Park
9/12 Shabbat Mincha (6:45pm) @505 Grand Ave
If you've any additional related information please share:
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