Shabbat and Weekday Service Registration Form

Please fill out one per person.

For all questions and enquiries, please email [email protected]

Full Name*

First Name Last Name

E-mail*

Phone Number*

Area Code Phone Number

I wish to attend the following services*

We recommend persons with a preexisting medical condition or in any other high risk category consult with a doctor before attending Shul.

Please confirm conditions of attendance*

I have no virus, cold or flu symptoms, I have not had a fever in the past 72 hrs. I have had no contact with anybody who has coronavirus or has arrived from overseas or any hotspot in the past 14 days. I will sanitise/wash my hands before coming to Shul and I will adhere to appropriate hygiene measures whilst attending Shul.

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Shabbat and Weekday Service Registration Form

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