Tish'ah b'Av July 29th Service Sign Up
On Wednesday evening, July 29th, 2020, Northern Hills Synagogue plans to have in-person, outdoor Tish'ah b'Av evening services beginning at 9:00 PM. Service attendance will be limited to a maximum of 14 people in total.

Please complete this form by 12:00 PM (noon) on Wednesday, July 29 to indicate your interest in registering to attend. Please note that completing this form does not guarantee that we will be able to welcome you to services on July 29.

Rabbi Ferro will contact you to let you know if we're able to accommodate you at this week's service.
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Name - Please use a separate form for each individual *
Phone Number *
Email Address *
Would you be willing to lead part of the service or perform another ritual function? (Use "other" for more detailed responses.)
DISCLAIMER - please read and acknowledge
Agreement to all of the following conditions is required for attending services. If you do not agree (as indicated in the following question), we cannot permit you to attend at this time. We want you to be healthy. We respect life and health, while at the same time seeking to keep our tradition and our community vibrant and active.

We are asking you to affirm these statements:

1. My temperature will be taken upon my entry, and if it is elevated I will be asked to leave.

2. I will wear a mask that covers my nose and mouth through the duration of the service.

3. I will maintain a minimum of six feet of distance from service attendees not in my household.

4. I understand that certain ritual observances may be suspended and/or altered.

5. I understand that bathroom access will be restricted to emergencies only.

6. My submitting this form does not guarantee that I will be granted attendance at this time.

7. I will not attempt to attend services if I am exhibiting uncharacteristic shortness of breath, flu-like symptoms, or other possible indications of coronavirus infection.

8. I choose to attend at my own risk; if I become seriously ill as a result of my attending services, I will under no circumstances attempt to hold Northern Hills Synagogue legally responsible for that eventuality.

In submitting this form, do you consent to these conditions? *
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