Trans Day of Remembrance Havdalah, Saturday, November 19, 6 pm

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Shalom!

Please use this form to register for the Trans Day of Remembrance Havdalah on Saturday, November 19, at 6 PM.

Please follow BCC's COVID protocols when you attend events:
- Wear a medical-grade mask indoors at all times (surgical masks, KF94, KN95 or N95.)
- Proof of vaccination (including at least 1 booster for those who are eligible) is required. (If you need to update your information, please email a copy or a photo of your updated vaccination card to bcc@bcc-la.org.)
- Service leaders will do a rapid COVID test on Friday.
- Service leaders will not wear a mask while leading services.

Thank you and we can't wait to see you!

Email *

Full Name *

Email Address *

Address

Phone Number

How did you learn about this event? *

BCC newsletter

BCC website

Through JQ International

Online search

BCC social media

JQ International social media

From a friend

Other:

Are you fully vaccinated and once boosted (if eligible) against Covid-19? *

Yes

How will you be submitting your proof of vaccination? *

Emailing a picture or photocopy of my vaccination card to bcc@bcc-la.org.

Bringing my vaccination card with me so that it may be photographed by a BCC staff member or volunteer.

I have already submitted my proof of vaccination to BCC.

SYMPTOM SCREENING: If you or a member of your household develop any of the following symptoms prior to arriving, please join us remotely and DO NOT come in person: Fever, cough, shortness of breath, chills, muscle pain, headache, sore throat, new loss of taste or smell. Check the box below if you understand and agree to these requirements. *

I understand and agree.

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