Shabbat Services Registration Form

We are excited to have in-person Kabbalat Shabbat, Kabbalat Mitzvah and Kahal Shabbat morning services for those who are vaccinated only. Please note we will continue to livestream as we have been doing throughout the pandemic.

Please complete the registration form in advance of coming to the building - one form per individual.

Advance registration is required for those who have yet to complete the vaccination information and agree to the brit (Covenant of Responsibility).

For questions, please contact Geoff Prass. Thank you! See you at Shabbat Services.

YOUR INFORMATION

First Name

Last Name

Email Address On File:

If we do not have your address, please add so we can update our records!

Birthdate

Birthdate is required to ensure this information is recorded properly.

Booster: Have you already submitted your booster information?

Booster

Booster Date: What was the date of your booster shot?

Vaccination

What is the date of your last shot (second for Moderna and Pfizer and one shot for Johnson and Johnson)

Have you previously completed and agreed to the brit / covenant of mutual responsibility?

Brit / Covenant of Mutual Responsibility

Our tradition teaches us that we are all responsible for each other and that protecting life is a value of paramount importance. Since the beginning of the pandemic we have upheld these values by maintaining distance, when appropriate, wearing masks at all times when in the building (other than for a brief period while eating or drinking, when permitted) and following other protocols to keep ourselves and others safe from the COVID-19 virus.

While COVID continues to be prevalent in our greater community, we require that all who are eligible be vaccinated. We acknowledge that those who are ages 5-11 only recently became eligible, and understand that this cannot yet be a requirement. We also strongly encourage everyone to get their boosters. Check out the recent Central Conference of American Rabbis (CCAR) resolution in support of COVID vaccine mandates. In order to come together safely, and to protect those who are not yet vaccinated, those who are vaccinated but the efficacy is waning and/or those who may not be able to get vaccinated, we all need to take responsibility for adhering to the following protocols: Before coming to Beth Emet for any event, we ask that you acknowledge the following Covenant of Mutual Responsibility. By submitting this form, I agree to follow the prevailing safety protocols when I am at Beth Emet. As of today, these include:

Wearing a multi-layer mask properly (covering mouth and nose) in the building as communicated by staff.
Keeping appropriate distance between myself and others, as communicated by staff.
Staying home if I am sick or have symptoms that might mean I am sick.
Complying in a responsible and respectful manner with instructions from staff and volunteers who have been designated to implement the health, safety, and security practices.
While Beth Emet strives to maintain a clean and healthy environment, Beth Emet is not responsible for injuries or sickness that may result from the pandemic, and by entering Beth Emet property, I am voluntarily assuming this risk.

I have read the Covenant of Mutual Responsibility:

REGISTRATION

Date of Service attending. If you wish to register for more than one service, please resubmit the form:

To ensure that we are properly prepared, please let us know if there are any special accommodations (e.g. wheelchair assistance, hearing assisted device)

TO REGISTER ADDITIONAL ATTENDEES, PLEASE CLICK "SUBMIT" TO FIND
THE LINK TO THE REGISTRATION FORM.

Contact Information