Passover Hametz Release Form
Please complete this form and don't forget to click "submit" at the bottom of the page. Chag Someach!
Eat Matzoh NOT Bread...
I, the undersigned do hereby commit to fulfill the Mitzvot (Commandments) governing Passover to the best of my ability by doing the following: 1) Making "Hametz" (Bread and related products) inaccessible in my home whether by secluding (taping-off/covering) all Hametz in designated, off limits areas of my food close/pantry or by physically removing the Hametz from my kitchen and placing it in storage in an inconvenient place in my home. 2) I commit to inspect my kitchen and home and remove miscellaneous Hametz, to clean my microwave and oven and to sweep/vacuum all areas of my home to cleanse and purify my environment in preparation for holiness of the Festival. 3) I commit to use paper/plastic plates and utensils throughout the Festival or a completely separate set of dishes and utensils which are used only on the Festival of Passover. 4) I commit to refrain from eating Hametz during the eight days of the Festival- from Friday April 19th, 2019 at 10am through Friday. April 27th, 2019 at 6PM.
Please type in addresses (home, vacation residence) where you live and which may contain Hametz.
While I make these commitments to myself in solidarity with traditional Jewish practice and history, I also have explained my commitment and the importance of my observance of these rituals of Passover to my family and friends, so that they can help me fulfill my commitments.
Please type in the date of your commitment.
Please type your name to indicate your "signature" and acceptance of this agreement. We will accept agreements only until Friday April 19th at 10AM EST.
It is customary to include a donation payable to Sim Shalom. You can paypal a donation at
A copy of your responses will be emailed to the address you provided.
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