JCS High Holidays Registration Form

JCS High Holidays 2019 Registration Form
Please enter your name, your membership status and the number of reservations that you wish to make for each of the four high holiday events; Rosh Hashanah, Tashlich, Kol Nidre, Yom Kippur & Break the Fast.
Name *

First Name Last Name
E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

Area Code Phone Number
JCS Membership Status *

I am a JCS Member I am not a JCS Member
Rosh Hashana -- Sunday, September 29, 7pm
Number of people registered for Rosh Hashana (including yourself)
Do you need child care for this event?

Child care needed
Tashlich -- Monday, September 30, 4pm

Located at Island Park (accesible from Island Dr. in Ann Arbor)
Number of people registered for Tashlich (including yourself)
Kol Nidre -- Tuesday, October 8, 7pm
Number of people registered for Kol Nidre (including yourself)
Yom Kippur -- Wednesday, October 9, 2pm
Number of people registered for Yom Kippur (including yourself)
Break the Fast -- Wednesday, October 9, 6pm

Potluck event - please bring non-meat dish to share
Number of people registered for Break the Fast (including yourself)
Donation
Our High Holiday observances are open to all who would like to join us. We ask that nonmembers (those not currently paying JCS dues) who are attending our Rosh Hashana, Kol Nidre and Yom Kippur observances make a donation to help defray the cost of running our High Holiday events.

The suggested donations are as follows:

* For all three observances (Rosh Hashana, Kol Nidre, Yom Kippur): $100/family, $50/individual, $25/student

* For each observance (if paid for individually): $50/family, $25/individual, $10/student

No one will be turned away due to an inability to pay the suggested donation. Instead, we ask that you pay only as much as you are comfortable paying. We will be pleased to have you with us.
Will be you giving a donation?

I will be giving a donation I will not be giving a donation
How would you like to pay for your donation?

I will bring check or cash to the event I will pay online using PayPal
Please enter your donation

USD High Holiday Donation
Should be Empty:

JCS High Holidays 2019 Registration Form

Rosh Hashana -- Sunday, September 29, 7pm

Tashlich -- Monday, September 30, 4pm

Kol Nidre -- Tuesday, October 8, 7pm

Yom Kippur -- Wednesday, October 9, 2pm

Break the Fast -- Wednesday, October 9, 6pm

Donation