BRS West - Yamim Noraim 5782

First Name *

Last Name *

Which Minyan will you be attending? *

Hashkama (Small Beis Medrash)

Ashkenaz (Large Beis Medrash)

Sephardic (Cafetaria)

Which side of the Mechitza? *

Please complete a separate form for family members on the other size of the Mechitza.

Men

Women

I would prefer: *

To sit in a mask ONLY section of the shul

To sit in a mask OPTIONAL section of the shul

Who will you be sitting with? *

Please list members of your family that you would like to have sitting in your section together with you.