PJC High Holy Days 2023/5784 - Form

PJC welcomes you to join us for the High Holidays!

As always, Port Jewish Center invites all people to participate with us in our religious services and events!

For security purposes, registration is required for all attendees (members and non-members), whether you are attending in person or virtually.
if you are a not a member of our synagogue, in addition to registering, please also bring an ID for entry.
Services are always free to all, but a donation to our High Holy Day Appeal is always appreciated.
Questions? Reach us at info@portjewishcenter.org or 516-944-7202

*UMC - United Methodist Church

* Are you a member of Port Jewish Center?

Please list all adult PJC members that are attending in person or virtually (If you have guests (non-members) attending with you, please enter them in the "guest" section later in the form.):

* First Name

* Last Name

* Email Address

First Name

Last Name

Email Address

Please list all children of PJC members that are attending service(s) in person or virtually:

Child First Name

Child Last Name

Child First Name

Child Last Name

Child First Name

Child Last Name

Child First Name

Child Last Name

* Which service(s) will at least one member of your PJC family attend?

Erev Rosh Hashanah Service - Fri 9/15 @8pm (UMC)Rosh Hashanah Morning Service - Saturday 9/16 @10am (UMC)Rosh Hashanah Family Service - Saturday 9/16 @2pm (Growing Love Garden)Rosh Hashanah Tashlich Service - Monday 9/16 @3pm (Manorhaven Beach)Yom Kippur Kol Nidre Service - Sunday 9/24 @8pm (UMC)Yom Kippur Morning Service - Monday 9/25 @10am (UMC)Yom Kippur Family - Monday 9/25 @2pm (PJC)Yom Kippur PM Yizkor & Neilah Service - Monday 9/25 @4pm (UMC)

* I/We plan to attend service(s):

**Please note that if you are attending any service virtually, a zoom link will be sent to you in advance of the service! The email address entered in this form will be used to send the link.

* Service Participation: I/We would be honored to participate in services:

Hebrew ReadingEnglish ReadingNon-Reading PartI/We decline an honor this year

* Do you have any guests (non-members) attending service(s) with you?

Please list all guests (non-members) attending in person or virtually, their email address, phone number and mailing address (please enter one household at a time):

* First Name (guest)

* Last Name (guest)

* Email Address

* Phone Number

* Mailing Address

* City

* State

* Zip

First Name (guest)

Last Name (guest)

Email Address

First Name (guest)

Last Name (guest)

Email Address

First Name (guest)

Last Name (guest)

Email Address

Child First Name (guest)

Chid Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

* Which service(s) will at least one of your guests plan on attending?

* Will your guest(s) attend any service(s) virtually?

YesNo**Please note that if you are attending any service virtually, a zoom link will be sent to you in advance of the service! The email address entered in this form will be used to send the link.

* Do you have more guests (non-members) attending service(s) with you?

Please list all guests (non-members) attending, their email address and mailing address (please enter one household at a time):

* First Name (guest)

* Last Name (guest)

* Email Address

* Phone Number

* Mailing Address

* City

* State

* Zip

First Name (guest)

Last Name (guest)

Email Address

First Name (guest)

Last Name (guest)

Email Address

First Name (guest)

Last Name (guest)

Email Address

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

* Which service(s) will at least one of your guests plan on attending?

* Will your guest(s) attend any services virtually?

YesNo**Please note that if you are attending any service virtually, a zoom link will be sent to you in advance of the service! The email address entered in this form will be used to send the link.

* Do you have more guests (non-members) attending service(s) with you?

Please list all guests (non-members) attending in person or virtually, their email address, phone number and mailing address (please enter one household at a time):

* First Name (guest)

* Last Name (guest)

* Email Address

* Phone Number

* Mailing Address

* City

* State

* Zip

First Name (guest)

Last Name (guest)

Email Address

First Name (guest)

Last Name (guest)

Email Address

First Name (guest)

Last Name (guest)

Email Address

Child First Name (guest)

Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

* Which service(s) will at least one of your guests plan on attending?

* Will your guest(s) attend any service(s) virtually?

YesNo**Please note that if you are attending any service virtually, a zoom link will be sent to you in advance of the service! The email address entered in this form will be used to send the link.

**Thank you and we look forward to seeing you at High Holiday Services with Port Jewish Center!**

Please consider making a donation to our High Holiday Appeal by:

Sending a check to Port Jewish Center, 20 Manorhaven Blvd, Port Washington, NY 11050
Using Venmo @portjewishcenter
Visiting our website at www.portjewishcenter.org/payment.php (please do so after submitting this form)

Please contact us at info@portjewishcenter.org or 516-944-7202 with any questions.

If you need to enter a new form, please go to: https:/www.portjewishcenter.org/form/highholidays2023 (Please submit this one first!)

Please list all guest(s) attending in person or virtually, email address, phone number and mailing address (please enter one household at a time):

* First Name (guest)

* Last Name (guest)

* Email Address

* Phone Number

* Address

* City

* State

* Zip Code

First Name (guest)

Last Name (guest)

Email Address

First Name (guest)

Last Name (guest)

Email Address

First Name (guest)

Last Name (guest)

Email Address

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

* Which service(s) will at least one of the people in your party be attending?

* Will you attend any service(s) virtually?

YesNo**Please note that if you are attending any service virtually, a zoom link will be sent to you in advance of the service! The email address entered in this form will be used to send the link.

* Do you know a current PJC Member?

Please list first and last name of the PJC member that you know (this is for security purposes):

* Last Name of PJC Member

* First Name of PJC Member

* Do you have more guests (non-members) attending services with you that are part of a different household?

Please list all guest(s) attending in person or virtually, email address, phone number and mailing address (please enter one household at a time):

* First Name (guest)

* Last Name (guest)

* Email Address

* Phone Number

* Mailing Address

* City

* State

* Zip

First Name (guest)

Last Name (guest)

Email Address

First Name (guest)

Last Name (guest)

Email Address

First Name (guest)

Last Name (guest)

Email Address

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

Child First Name (guest)

Child Last Name (guest)

Age

* Which service(s) will at least one of your guests plan on attending?

* Will your guest(s) attend any service(s) virtually?

YesNo**Please note that if you are attending any service virtually, a zoom link will be sent to you in advance of the service! The email address entered in this form will be used to send the link.

**Thank you and we look forward to seeing you at High Holiday Services with Port Jewish Center!**

Please consider making a donation to our High Holiday Appeal by:

Sending a check to Port Jewish Center, 20 Manorhaven Blvd, Port Washington, NY 11050
Using Venmo @portjewishcenter
Visiting our website at www.portjewishcenter.org/payment.php (please do so after submitting this form)