Shavuos 5780 - BRS West

Name *

Phone Number *

Please confirm *

I do not have a fever, cold or cough

I will come to minyan wearing a mask and wear it throughout tefillah

I will only attend BRS West minyanim

To the best of my knowledge, I do not have any condition that increases my risk of Coronavirus complications

I am under the age of 65 OR my primary care physician has advised me that I can attend minyan

I am over bar/bas mitzvah OR my accompanying parent confirms that I am will not disrupt the Tefillah

I will talk ONLY to Hashem throughout the Tefillah

Required