Friday Night Live

* First Name

Last Name

* Phone Number

Only the fully vaccinated are eligible to attend the soiree. Please fill out the below 3 questions confirming that you and all in your party are fully vaccinated. (Children under 5 may attend if they are masked when not eating)

I (and my complete party) am/are fully vaccinated, defined as being 2 or more weeks after receiving the final dose of any vaccine approved by the FDA or authorized by the FDA for emergency use.

* I have answered the above vaccination question correctly and accurately, and understand the implications of offering an incorrect response.

I have answered the above vaccination question correctly and accurately, and understand the implications of offering an incorrect response.

* I (and my complete party) waive, release and covenant not to assert against Congregation Kehilath Jeshurun or its agents, volunteers, or other representatives any claim relating to or arising out of COVID or infection therefrom by reason of or in connection with my attendance at the Synagogue.

I (and my complete party) waive, release and covenant not to assert against Congregation Kehilath Jeshurun or its agents, volunteers, or other representatives any claim relating to or arising out of COVID or infection therefrom by reason of or in connection with my attendance at the Synagogue.

Please note any special dietary needs:

Please Select OneYesNo

Please indicate the number of special meals you would like to order:

Vegetarian

Fish

Gluten Free

* How many tickets?

Adults and Children are $50 per person after early registration has passed (If child does not require a seat (younger than 3) there is no need to purchase a ticket).

* Please select how you would like to be seated -

Seating Requests

Is this your first time attending KJ Beginners?

Total

Wed, April 17 2024
9 Nisan 5784

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