YIOP Minyan Sign-Up, 5/14-18

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YOU MUST SIGN UP TO ATTEND.
YIOP has resolved to be more diligent in contact tracing and making our expectations clear to anyone who enters the building. Thank you for caring for those around you.

Email *

Name *

Have you been vaccinated? *

Yes, fully, and it has been at least 2 weeks since

Partially- I have had 1 of 2 OR it has not yet been 2 weeks since my final shot

No, but I have one scheduled

No, and I could use help getting one

No, and I will not or cannot do so

Please check all that apply: *

I have been careful to take precautions (of masks and distancing) in other public and/or social gatherings

I do not have a fever, cough, or any other symptom of illness

I have not been exposed to someone with COVID-19 without protection

I am older than bar/bat mitzvah but younger than 65, or older than 65 and have my physician's permission to attend

I am not severely obese, have lung disease, diabetes, heart disease, hypertension, severe kidney or liver disease, neurological disorders, or immuno-compromised

I am comfortable attending minyan

I will wear my mask over my mouth and nose

I will maintain a distance of 8 feet between me and any non-family members

I will notify someone at YIOP if I test positive in the coming days

Required

Which Minyanim do you plan to attend on the first day of Shavuot, 5/16-17?

Mincha (8:35pm), Shiur, and Ma'ariv (9:40pm)

Early Shacharit @ 8:15am (Beit Midrash)

Shacharit @ 9:00am (Main Shul)

End of first day Mincha (8:35pm), Shiur, Ma'ariv (~9:15pm)

Which Minyanim do you plan to attend on the second day of Shavuot, 5/18?

Early Shacharit @ 8:15am (Beit Midrash)

Shacharit @ 9:00am (Main Shul)

Mincha (8:35pm), Shiur, Ma'ariv (~9:25pm)

Do you plan on joining the Family program (with kids) in the Social Hall after the Main minyan on the 2nd day of Shavuot (11:30am to 12:15)?

Yes

Other:

Clear selection

Are you currently a Young Israel of Oak Park member? *

Yes

I would like to apply for membership

Questions, concerns, suggestions, or comments:

A copy of your responses will be emailed to the address you provided.

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