Please fill out one per person.For all questions and enquiries, please email [email protected] Full Name*First NameLast NameE-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 NumberPhone Number*Area CodePhone NumberPlease 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 by emailI wish to attend the following services*Friday 18 FebruarySaturday 19 FebruaryMonday 21 FebruaryTuesday 22 FebruaryWednesday 23 FebruarySubmitShould be Empty: This page uses TLS encryption to keep your data secure.