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In-person attendance for Summer Talmud
Please verify reCaptcha before submitting the form.
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First Name
*
Last Name
*
Email address
*
Cell Phone number
Please list the names of everyone in your family/pod who will be attending
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Do you or does anyone you are registering have any signs of COVID-19 or have you or has anyone you are registering been exposed to anyone with a confirmed case of COVID-19 in the last 2 weeks?
Please Select One
Yes
No
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Do you agree to notify Or Zarua if you or anyone you are registering is diagnosed with COVID-19 in the 2 weeks after attending an event at Or Zarua?
Please Select One
Yes
No
If you are willing to share, please let us know if you are fully vaccinated.
Please Select One
Yes
No
Prefer not to say
Vaccinated people may remove their masks during the class. Masks are required for unvaccinated people at all times.
Please respect social distancing requirements in order to protect your own health and the health and comfort of those around you.
Only registered members may attend services. Please do not bring any additional people not listed above on this registration form.
You are expressly granting your permission to be photographed/videoed as part of the Zoom broadcast of the event.
By registering to attend, you acknowledge the significant risks associated with COVID-19 and that Or Zarua is making diligent efforts and taking reasonable precautions to mitigate those risks within its building. You understand that, despite its diligent efforts, Or Zarua cannot guarantee the health of anyone attending services or programs in its building.
Fri, September 22 2023 7 Tishrei 5784