2022 Springfield Community Thanksgiving In-Person Registration
Thank you for registering to come to the Springfield Community Thanksgiving Service in person. The service will be held at Temple Beth Ahm Yisrael, 60 Temple Drive, Springfield, NJ 07081. The service will start at 7:30. Please arrive by 7:20 in order to check in and find your seat.

Please attend the service online if you:
  • Are experiencing COVID-like symptoms (cough, fever, chills, sore throat, congestion or runny nose, fatigue, head or body aches, or loss of taste or smell)
  • Have come into contact with someone who has tested positive for COVID
  • Are not vaccinated and have traveled outside of the state in the past 10 days
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Email *
Your name *
Your phone number *
Are you a member of a Springfield faith community? *
Required
Please list the names of those attending with you
(You are considered Person #1)
Person #2
Person #3
Person #4
Person #5
For the next question, please use these definitions:
Boosted: You have received both doses of Pfizer/Moderna or one dose of J&J AND have received at least one booster shot
Fully Vaccinated: It is at least two weeks after your 2nd dose of Pfizer/Moderna or single dose of J&J
Partially Vaccinated: You have had only 1st dose of Pfizer/Moderna or are not more than two weeks past inoculation (four weeks for J&J)
Not Vaccinated: You have not received any vaccine

(Please put your information in the Person #1 line.)
Please list the vaccination status of each person attending.
Boosted
Fully Vaccinated
Partially Vaccinated
Not Vaccinated/Prefer Not to Say
Person #1
Person #2
Person #3
Person #4
Person #5
Do you have any special requests?
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