Please fill out one per person. For all questions and enquiries, please email bergeryanky@gmail.com Full Name* First Name Last Name E-mail* We recommend persons with a preexisting medical condition or in any other high risk category consult with a doctor before attending Shul. Please supply your Covid-19 Document number. Please wear a mask when attending Shul.. . Covid-19 Document Number Phone Number* Area Code Phone Number 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. I will wear a mask when attending Shule. I would like to receive news and updates from Chabad Double Bay by email. I understand that information I provide to Chabad Double Bay will be used according to its Privacy Policy and I can unsubscribe at any time. I wish to attend the following services* Friday 18 February Saturday 19 February Monday 21 February Tuesday 22 February Wednesday 23 February Submit Should be Empty: This page uses TLS encryption to keep your data secure.
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